Individual
DR. PHILIP J LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1507 SW MORRISON ST, SUITE A, PORTLAND, OR 97205-1814
(503) 226-1048
(503) 226-1049
Mailing address
1507 SW MORRISON ST, SUITE A, PORTLAND, OR 97205-1814
(503) 226-1048
(503) 226-1049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172379
—
OR
Enumeration date
01/25/2007
Last updated
07/08/2007
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