NPI 1114572831

Dustin James Davis, QMHACPT

Practitioner Licensed Psychiatric Technician Hillsboro, OR

Practice location

Address: 4660 NE Belknap CT STE 101h, Hillsboro, OR 97124-8403
Phone: (503) 729-2384
Fax: (855) 240-3947
Mailing address: 2034 Columbia Blvd # 507, Saint Helens, OR 97051-1737

Registered specialties (3)

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X

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Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X

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Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1114572831
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2019
Record last updated: 8 Aug 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.