Most Relevant Information
Provider Data
| NPI Number: | 1003531492 |
| Provider Name: | DAVID R HADDOW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | R8754 |
Most Important Dates
| Enumeration Date: | 10/07/2022 |
| Last Updated: | 01/18/2024 |
Provider Practice Location
1020 SE 60TH AVE APT 407
PORTLAND
OR
972152844
Practice Location Phone/Fax
| Phone: | 5412556307 |
| Fax: |
Provider Mailing Location
1020 SE 60TH AVE APT 407
PORTLAND
OR
972152844
Provider Mailing Phone/Fax
| Phone: | 5412556307 |
| Fax: |