person
Domonique Carlita Davis
Massage Therapist in Portland, Oregon
NPI 1821719543

Domonique Carlita Davis is a Massage Therapist based in Portland, OR. Domonique Carlita Davis practices in Portland, OR. The NPI Number for Domonique Carlita Davis is 1821719543 and holds a License No. 26305 (Oregon).

The current practice location address for Domonique Carlita Davis is 510 Sw 3Rd Ave Ste 201, Portland, OR and can be reached out via phone at 503-943-9331.

Location: 510 Sw 3Rd Ave Ste 201, Portland, OR, 97204-2507
person
Provider Profile Details
NPI Number
1821719543
Provider Name
Domonique Carlita Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 Sw 3Rd Ave Ste 201, Portland, OR, 97204-2507
Phone Number
503-943-9331
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 Sw 3Rd Ave Ste 201
City
State
Zip
97204-2507
Phone Number
503-943-9331
Fax Number
person
Provider Business Mailing Address Details
Address
510 Sw 3Rd Ave Ste 201
City
State
Zip
97204-2507
Phone Number
503-943-9331
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
26305 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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