Individual
DAVID MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCII, CDP
Contact information
Practice address
5415 SW WESTGATE DRIVE, PORTLAND, OR 97221-2409
(503) 231-2641
(503) 629-6517
Mailing address
5415 SW WESTGATE DRIVE, PORTLAND, OR 97221-2406
(503) 231-2641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCII 98-04-12
OR
Other
Enumeration date
08/16/2013
Last updated
04/12/2023
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