Individual
DONNA K DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T-24-3697
Contact information
Practice address
11022 SE WOOD AVE, PORTLAND, OR 97222-4553
(503) 201-1668
(541) 234-3777
Mailing address
11022 SE WOOD AVE, PORTLAND, OR 97222-4553
(503) 201-1668
(541) 234-3777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3697
OR
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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