| Doctor Name: | CHERYL DENE DAVIDSON |
| NPI Number: | 1205915816 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNFA FNP-C |
| License Number: | 200650017NP |
| Business Practice Address: | 18341 Se Caleb Ln Damascus, OR - 970099619 |
| Business Phone Number: | 5036674873 |
| Business Fax Number: | 5036676782 |
| Mailing Address: | 18341 Se Caleb Ln, DAMASCUS |
| State: | OR |
| Postal Code: | 970896019 |
| Phone Number: | 5036674873 |
| Fax Number: | 5036676782 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200650017NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |