Individual
NANCY LEVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
945 S RIVERSIDE AVE, MEDFORD, OR 97501-7841
(541) 789-5252
Mailing address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183092
—
OR
Enumeration date
03/02/2007
Last updated
07/08/2007
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