Provider Demographics
NPI:1154795573
Name:DAVIS, KAREN SPIEGELBERG (MS, CNS, NTP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SPIEGELBERG
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS, CNS, NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW HAMPTON ST STE 130
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8374
Mailing Address - Country:US
Mailing Address - Phone:971-258-1968
Mailing Address - Fax:
Practice Address - Street 1:7000 SW HAMPTON ST STE 130
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-8374
Practice Address - Country:US
Practice Address - Phone:971-258-1968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist