Domonique Carlita Davis
Domonique Carlita Davis is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
510 SW 3rd Ave Ste 201Portland, OR 97204-2507
Phone: (503) 943-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 26305 (OR) |
|---|
Record details
| NPI number | 1821719543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 9, 2022 |
| Last updated in NPPES | September 9, 2022 |
| Certification date | September 9, 2022 |
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