Individual
DEIDRE NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Mailing address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L5937
OR
Other
Enumeration date
01/26/2010
Last updated
02/25/2026
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