Individual
DONNA JULIA LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14631 SW MILLIKAN WAY STE 15, BEAVERTON, OR 97003-2999
(719) 777-5650
Mailing address
9273 N OSWEGO AVE, PORTLAND, OR 97203-2336
(719) 330-5067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14368
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14368
STATE LICENSE
OR
Enumeration date
05/06/2008
Last updated
10/12/2021
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