ROBERT O DAVIS
Individual Provider (NPI-1)
Active
Prevention Professional
Provider Information
- NPI Number
1922679240- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 46314 TIMINE WAY, PENDLETON, OR, 97801
- Phone
- (541) 966-9830
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: OR #T-17-405
Prevention Professional
Primary License: OR #21-CRM-569