Individual
ROXANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4941 NE 17TH AVE, PORTLAND, OR 97211-5709
(503) 645-9010
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6119
OR
Other
Enumeration date
07/21/2016
Last updated
09/11/2024
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