Search › Washington › 1041C0700X
Jaeren Davis, LICSW, QMHP-C
NPI 1386047884 · on the registry since 2014
Practice
- Address
- 400 Ne Mother Joseph Pl
Vancouver, WA 98664 - Phone
- (360) 256-2000
- Fax
- (360) 514-2548
- Organisation at this address
- Peacehealth
Peacehealth
Peacehealth
Ts Washington, Llc
Columbia Imaging Group, PsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 244
Additional practice sites
- 33 Nw Broadway, Portland, OR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington