IndividualActive
Mark Davis, QMHA
NPI 1003154162 · Mental Health Counselor · Medford, OR
Provider details
- NPI number
- 1003154162
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1191 Hazel St
Medford, OR 97501
Phone: (541) 476-2373
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Sw G St
Grants Pass, OR 97526-2544
Registry dates
- Enumerated
- 2013-01-24
- Last updated
- 2021-02-03
- Certified
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.