Doctor Name: | MARY DAVEY DOWER |
NPI Number: | 1811062706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2740 |
Business Practice Address: | 51891 Old Portland Rd Suite B Scappoose, OR - 97056 |
Business Phone Number: | 5037961116 |
Business Fax Number: | 5036213703 |
Mailing Address: | 14777 Nw Mcnamee Rd, PORTLAND |
State: | OR |
Postal Code: | 972312133 |
Phone Number: | 5036213703 |
Fax Number: | 5036213703 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |