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1942633649
DAVID MICHAEL DAVIS
PORTLAND, OR
NPI
1942633649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR CADCII 98-04-12)
Enumeration Date
2013-08-16
Last Update Date
2023-04-12
Business Address
DAVID MICHAEL DAVIS CADCII, CDP
5415 SW WESTGATE DRIVE
PORTLAND, OR 97221-2409
Phone number: 503-231-2641
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Mailing Address
DAVID MICHAEL DAVIS CADCII, CDP
5415 SW WESTGATE DRIVE
PORTLAND, OR 97221-2406
Phone number: 503-231-2641
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