Individual
PATTI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC11
Contact information
Practice address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1150
(503) 528-0800
Mailing address
906 SW 14TH ST, TROUTDALE, OR 97060-1419
(503) 667-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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