GREGORY J DAVENPORT

PORTLAND, OR
NPI1972542009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003132)
Enumeration Date2006-06-05
Last Update Date2007-07-23
Business Address
-- GREGORY J DAVENPORT PA-C
3500 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-331-6101
Mailing Address
-- GREGORY J DAVENPORT PA-C
3500 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number:
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