| Organization Name: | OLWYN K DAVIES MD PC |
| NPI Number: | 1255470076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLWYN KENNETH DAVIES (OWNER) |
| Mailing Address: | 410 Welch Street Silverton |
| State: | OR US |
| Postal Code: | 97381 |
| Phone Number: | 5038735331 |
| Fax Number: | 5038738513 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD05350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |