Individual
DR. REID THOMAS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19355 SW MOHAVE CT STE 100, TUALATIN, OR 97062-8631
(503) 486-5199
(503) 486-5190
Mailing address
19365 SW 65TH AVE STE 104, TUALATIN, OR 97062-9196
(503) 486-5199
(503) 486-5190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5933
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801059753
NOT CREDENTIALED WITH MEDICARE
OR
Enumeration date
10/03/2018
Last updated
08/02/2023
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