Davis, Charlene

Davis, Charlene is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Ste 100 , Roseburg OR 97471-6214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Charlene can be contacted via phone (541) 677-7200.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Ste 100 Roseburg OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10022152 Oregon

Profile Details

NPI number 1023728573
LBN Legal business name Davis, Charlene
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2022
Last updated Feb 27th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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