Individual
DR. KATHERINE MARIAH DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(208) 305-8681
Mailing address
1615 WATER ST NE APT 22, SALEM, OR 97301-0762
(208) 305-8682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2987
OR
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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