Individual
MR. ERIC SAMUEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 877-1995
Mailing address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 877-1995
(503) 877-1995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-04-26
OR
1041C0700X
Clinical Social Worker
Primary
7843
OR
1041C0700X
Clinical Social Worker
A4913
OR
Other
Enumeration date
05/10/2007
Last updated
09/09/2019
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