Individual
MR. ERIC ROSS DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 843-8431
Mailing address
1519 ALASKAN WAY, SEATTLE, WA 98134
(206) 217-6434
(206) 217-6636
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X
—
Other
Enumeration date
02/23/2006
Last updated
03/24/2023
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