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Individual

MS. JUDITH LIKAVEC DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCSLP

Contact information

Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11551
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17011OMAP
OR
Enumeration date
07/11/2007
Last updated
03/14/2008
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