Individual
DANIEL GLENN DAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1840 UNION AVE, NORTH BEND, OR 97459-3422
(541) 756-2057
Mailing address
1840 UNION AVE, NORTH BEND, OR 97459-3422
(541) 756-2057
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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