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Individual

DR. MARK GABRIEL DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
5432 N MARYLAND AVE, PORTLAND, OR 97217-4548
(971) 231-4325
(971) 239-1913
Mailing address
5432 N MARYLAND AVE, PORTLAND, OR 97217-4548
(971) 231-4325
(971) 239-1913

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1842
OR

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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