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1760501076
PATTI DAVIS
PORTLAND, OR
NPI
1760501076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- PATTI DAVIS CADC11
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1150
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Mailing Address
-- PATTI DAVIS CADC11
906 SW 14TH ST
TROUTDALE, OR 97060-1419
Phone number: 503-667-2997
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