Individual
KATHERINE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
Mailing address
8800 SE CAUSEY LOOP APT F309, HAPPY VALLEY, OR 97086-2685
(310) 779-7103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10227147
OR
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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