Jessica Lynn Davidson
Case Manager/Care Coordinator in Dallas, OR. Individual provider (NPI-1).
NPI number1003355751
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1003355751
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lynn Davidson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2017
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
182 Sw Academy StDallas, OR 97338-1996
Phone 503-623-9289
Mailing address
182 Sw Academy StDallas, OR 97338-1996
Phone 503-623-9289
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