Individual provider · Type 1 NPI

Kevin Davis

Peer Specialist · Medford, OR

NPI number 1104532985 Active

Practice location

1025 E Main St
Medford, OR 97504-7689

Call (541) 779-2081 Map

Mailing address

1003 E Main St
Medford, OR 97504-7140

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104532985

Kevin Davis's National Provider Identifier is 1104532985, issued on Jan 25, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Jan 25, 2023.