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1518003698
LISA ANN DAVIS
PORTLAND, OR
NPI
1518003698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- LISA ANN DAVIS QMHP
2034 SE 6TH AVE
PORTLAND, OR 97214-4510
Phone number: 503-238-6801
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Mailing Address
-- LISA ANN DAVIS QMHP
8934 SE RURAL ST
PORTLAND, OR 97266-5555
Phone number: 503-771-8840
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