Individual
PAULINE GALE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM FNP
Contact information
Practice address
353 DEADMOND FERRY RD, SPRINGFIELD, OR 97477-9406
(541) 222-7550
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200650082NP
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
200650082NP NMNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608794
—
OR
Enumeration date
06/28/2007
Last updated
01/05/2011
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