NPI 1003459090
Michael D Davidson, SUDPT
Practice location
- Address
- 201 E Lincoln Ave STE 100, Yakima, WA 98901-2348
- Phone
- (509) 457-5653
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1003459090
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Oct 2019
- Record last updated
- 22 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.