| Kristopher Davis, CRM | |
| 
					547 Sw 7th St, Newport, OR 97365-4909  | |
| (541) 574-9570 | |
| (541) 574-8857 | 
| Full Name | Kristopher Davis | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 547 Sw 7th St, Newport, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023901345 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25-CRM-4477 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristopher Davis, CRM 547 Sw 7th St, Newport, OR 97365-4909 Ph: (541) 574-9570  | Kristopher Davis, CRM 547 Sw 7th St, Newport, OR 97365-4909 Ph: (541) 574-9570  | 
Mr. Jeffrey Price, RECOVERY MENTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-574-6252  | |
Jordyn Emily Hubbard,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960  | |
Jase Eli Pecanha, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0606  | |
Sofia Louise Goheen,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960  | |
Kathryn Mcdonald Shumate, LPC,  LSATP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1365 Ne Lakewood Dr Apt 322, Newport, OR 97365 Phone: 503-758-2093  | |
Gina D Golden-willeford, CASE MANAGER 2, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0601  |