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1902656952
DONNA K DAVIS
PORTLAND, OR
NPI
1902656952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3697)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
DONNA K DAVIS T-24-3697
11022 SE WOOD AVE
PORTLAND, OR 97222-4553
Phone number: 503-201-1668
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Mailing Address
DONNA K DAVIS T-24-3697
11022 SE WOOD AVE
PORTLAND, OR 97222-4553
Phone number: 503-201-1668
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