Organization
SO EMO COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE DAVIS LPC (OWNER)
(323) 893-9353
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(323) 893-9353
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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