Individual
CHANEY REEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP, FNP
Contact information
Practice address
5305 RIVER RD N, KEIZER, OR 97303-5324
(503) 847-9055
(503) 847-9056
Mailing address
5331 S MACADAM AVE STE 258 PMB 1032, PORTLAND, OR 97239-3871
(503) 847-9055
(503) 847-9056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200843072RN
OR
363LF0000X
Family Nurse Practitioner
2011017245
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050179NP
OR
Other
Enumeration date
08/05/2007
Last updated
06/22/2021
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