NINA LUCILLE DAVIS

PORTLAND, OR
NPI1255806758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-10-11
Last Update Date2019-01-08
Business Address
NINA LUCILLE DAVIS
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Phone number: 503-238-0769
Mailing Address
NINA LUCILLE DAVIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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