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General NPI Number Information
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NPI Number | 1073408472
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Entity Type | Individual
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Provider Name | LAURYN SIERRA DAVIS DC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 436 SE 12TH AVE
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City | PORTLAND
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State | OR
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Zip | 97214-1323
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Country | US
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Telephone | 503-305-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 NE EVERETT ST APT 209
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City | PORTLAND
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State | OR
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Zip | 97232-3486
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Country | US
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Telephone | 202-725-1225
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Fax | 202-725-1225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6458
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License Number State | OR
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