Koryssa Leeanne Davis, THW
Koryssa Leeanne Davis, THW is a Community Health Worker in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
150 NE Kenneth Ford DrRoseburg, OR 97470-1042
Phone: (541) 672-9596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 109909 (OR) |
|---|
Record details
| NPI number | 1659153906 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | THW |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2023 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
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