| Doctor Name: | MRS. SHERRY DIANE DAVIDSON |
| NPI Number: | 1033379235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 077027292N6PMHNPPP |
| Business Practice Address: | 10700 Sw Beaverton-hillsdale Hwy Park Plaza West Bld 3 Suite 547 Beaverton, OR - 97005 |
| Business Phone Number: | 5036430428 |
| Business Fax Number: | |
| Mailing Address: | 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547 BEAVERTON |
| State: | OR |
| Postal Code: | 97005 |
| Phone Number: | 5036430428 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 077027292N6PMHNPPP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |