Individual
DENISE REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7204 SW DURHAM RD, SUITE 100, PORTLAND, OR 97224-7574
(503) 941-9869
(503) 352-5555
Mailing address
7204 SW DURHAM RD, SUITE 100, PORTLAND, OR 97224-7574
(503) 941-9869
(503) 352-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015587
OR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500757461
—
OR
Enumeration date
07/23/2015
Last updated
07/13/2026
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