Individual
JEFFREY RICH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 1ST AVE, SUITE 3A, LONGVIEW, WA 98632
(360) 636-4469
(360) 425-4970
Mailing address
1801 1ST AVE, SUITE 3A, LONGVIEW, WA 98632
(360) 636-4469
(360) 425-4970
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00038750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8256067
—
WA
Enumeration date
07/28/2006
Last updated
07/25/2007
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