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Contact Information

JEFFREY R DAVIS, MD
1801 1ST AVE
SUITE 3A
LONGVIEW, WA98632
 Phone: 360-636-4469
 Fax: 360-425-4970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JEFFREY R DAVIS · (Male)

NPI # 1871507251
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 07/25/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00038750
  • WA Medicaid 8256067
Hospital affiliation(s)
  • LEGACY SALMON CREEK MEDICAL CENTER - (Acute Care)
    2211 NE 139TH STREET
    VANCOUVER, WA 98686
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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