Davis, Mary Louise

Davis, Mary Louise is an sole proprietor health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Davis, Mary Louise can be contacted via phone (503) 661-5455.

Contact Information

Primary practice address
400 Ne 7Th St Gresham OR 97030-5604
Phone: (503) 661-5455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407906308
LBN Legal business name Davis, Mary Louise
Credentials CADCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Aug 4th, 2011 - about 14 years 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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