Individual provider · Type 1 NPI

Patti Davis, CADC11

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1760501076 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Call (503) 535-1150 Map

Fax (503) 528-0800

Mailing address

906 SW 14th St
Troutdale, OR 97060-1419

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760501076

Patti Davis, CADC11's National Provider Identifier is 1760501076, issued on Mar 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.