Provider Demographics
NPI:1285960575
Name:DAVIS, RHONDA L (CD(DONA) PCD(DONA))
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CD(DONA) PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3149 SW EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-5460
Mailing Address - Country:US
Mailing Address - Phone:503-320-9847
Mailing Address - Fax:971-223-5040
Practice Address - Street 1:3149 SW EMERALD AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-5460
Practice Address - Country:US
Practice Address - Phone:503-320-9847
Practice Address - Fax:971-223-5040
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula