Mary Louise Davis in Portland - Addiction (substance Use Disorder)

Mary Louise Davis - NPI 1407906308

Mary Louise Davis is a Addiction (substance Use Disorder) in Portland, Oregon. Mary Louise Davis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Louise Davis is 1407906308. The last update date is 2011-08-04.

Mary Louise Davis's current location address is 11153 Ne Weidler St Apt C3, Portland, Oregon. You can contact this provider via phone number 5037190101. The mailing address for Mary Louise Davis is 11153 Ne Weidler St Apt C3, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Louise Davis
Address 11153 Ne Weidler St Apt C3, Portland, Oregon
Phone Number 5037190101
Fax Number
Sole Proprietor Y
Credentials CADCI

NPI Number Detail

NPI Number 1407906308
Provider Enumeration Date 2007-01-11
Last Updated Date 2011-08-04

Provider Mailing Address Detail

Address 11153 Ne Weidler St Apt C3
City Portland
State Oregon (OR)
Post Code 972201974
Phone Number 5037190101
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mary Louise Davis

What is the unique provider identifier assigned to Mary Louise Davis?

The Mary Louise Davis has been issued the NPI (National Provider Identifier) 1407906308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mary Louise Davis?

The Mary Louise Davis is situated at 11153 Ne Weidler St Apt C3, in the city of Portland, state of OR, with the zip code 972201974.

What is Mary Louise Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Louise Davis is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

When was the Mary Louise Davis's 1407906308 issued?

The Mary Louise Davis's 1407906308 was issued on 2007-01-11.

When was the information pertaining to Mary Louise Davis most recently updated or revised?

The details related to Mary Louise Davis, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-04.

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