DAVID MICHAEL DAVIS

PORTLAND, OR
NPI1942633649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADCII 98-04-12)
Enumeration Date2013-08-16
Last Update Date2023-04-12
Business Address
DAVID MICHAEL DAVIS CADCII, CDP
5415 SW WESTGATE DRIVE
PORTLAND, OR 97221-2409
Phone number: 503-231-2641
Mailing Address
DAVID MICHAEL DAVIS CADCII, CDP
5415 SW WESTGATE DRIVE
PORTLAND, OR 97221-2406
Phone number: 503-231-2641