Individual
JAMIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2855 E HAYES ST STE 101, NEWBERG, OR 97132-1390
(503) 901-5652
(888) 587-8510
Mailing address
2855 E HAYES ST STE 101, NEWBERG, OR 97132-1390
(503) 901-5652
(888) 587-8510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012656
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889428100
—
FL
Enumeration date
06/01/2011
Last updated
01/07/2022
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