Individual
WENDY-JO DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 SUPERIOR CT, MEDFORD, OR 97504-6181
(541) 494-7800
Mailing address
20 NE SPYGLASS LOOP, ROSEBURG, OR 97470-6441
(541) 580-5680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15210
OR
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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