Individual provider · Type 1 NPI

Susan Beth Davis, M.A.

Mental Health Counselor · Portland, OR

NPI number 1154412245 Active

Practice location

3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office East
Portland, OR 97227-1196

Call (503) 249-5263 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XOR C0996 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1154412245

Susan Beth Davis, M.A.'s National Provider Identifier is 1154412245, issued on Sep 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 10, 2007.