Individual
MR. RONALD CLINTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 696-4061
Mailing address
803 NE 104TH AVE, VANCOUVER, WA 98664-4445
(509) 953-6258
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN00157930
WA
Other
Enumeration date
12/02/2006
Last updated
08/12/2019
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