BRIAN ROBERT DAVIS

PORTLAND, OR
NPI1558863019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-10154554)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
BRIAN ROBERT DAVIS MS, ATC
930 SW HALL ST.
PORTLAND, OR 97201-9720
Phone number: 503-725-4073
Mailing Address
BRIAN ROBERT DAVIS MS, ATC
6636 SW VIRGINIA AVE
PORTLAND, OR 97239-3506
Phone number: 206-919-6867
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