Individual
MICHAEL DAVIDESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(510) 679-3545
Mailing address
4626 NE 28TH AVE, PORTLAND, OR 97211-6530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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