Individual
MS. LINDA DUANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
815 BERWICK CT, LAKE OSWEGO, OR 97034-2843
(503) 799-3276
Mailing address
815 BERWICK CT, LAKE OSWEGO, OR 97034-2843
(503) 799-3276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
63404
OR
101YP2500X
Professional Counselor
Primary
C1494
OR
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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