Individual provider · Type 1 NPI

Yvette Marie Davis, MSW, QMHP, CRM

Mental Health Counselor · Portland, OR

NPI number 1285772715 Active

Practice location

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X08-P-04 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285772715

Yvette Marie Davis, MSW, QMHP, CRM's National Provider Identifier is 1285772715, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 15, 2017.