Mr. Jack Lemuel Davidson
Mr. Jack Lemuel Davidson is a Social Worker in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
707 NE Couch StPortland, OR 97232-2922
Phone: (503) 542-4603
Fax: (503) 233-6093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1245663608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 20, 2013 |
| Last updated in NPPES | August 21, 2013 |
| Mailing address | 3710 N Arlington Pl, Portland, OR 97217-7212 |
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