Individual provider · Type 1 NPI

Shivaunne Collette Davis

Mental Health Counselor · Portland, OR

NPI number 1972065860 Active

Practice location

9320 SW Barbur Blvd Ste 200
Portland, OR 97219-5499

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972065860

Shivaunne Collette Davis's National Provider Identifier is 1972065860, issued on Apr 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 1, 2019.