MARK LYNN DAVIS

DALLAS, OR
NPI1326166141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  98-04-13)
Enumeration Date2007-03-27
Last Update Date2024-10-23
Business Address
MR. MARK LYNN DAVIS CADC I
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Mailing Address
MR. MARK LYNN DAVIS CADC I
1128 S 7TH ST
INDEPENDENCE, OR 97351-1428
Phone number: 503-838-4282
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