Deidre Nicole Davis MSW

NPI 1174854467 - Social Worker - 104100000X

NPI Details
NPI 1174854467
Gender Female
Enumeration Date 01/26/2010
Last Updated 01/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
PORTLAND OR, 97227-1020, US
Phone (503) 331-6131
Fax (503) 331-6460
Business Location
21150 SW 86TH CT
TUALATIN OR, 97062-9171, US
Taxonomy Code 104100000X
License State
License Number
Remove 1174854467 NPI Number

According to our database, Deidre Nicole Davis MSW NPI is 1174854467, taxonomy code is 104100000X Deidre Nicole Davis MSW physically located at 3325 N Interstate Ave, Portland OR, 97227-1020. NPI Number Deidre Nicole Davis MSW has the Individual type.

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1174854467 NPI number is provided on an as is basis without warranty of any kind. 1174854467 is maintained by the National Plan & Provider Enumeration System. The contents of Deidre Nicole Davis MSW are for informational purposes only.