Individual
MS. HEATHER KATHLEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-1 #25-04-11458
Contact information
Practice address
310 NW 5TH ST STE 101, CORVALLIS, OR 97330-4849
(541) 286-4010
(541) 286-4011
Mailing address
310 NW 5TH ST STE 101, CORVALLIS, OR 97330-4849
(541) 286-4010
(541) 286-4011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
OR
Other
Enumeration date
08/15/2023
Last updated
04/30/2025
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