Individual
KRISTY ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W POWELL BLVD, GRESHAM, OR 97030-7051
(503) 453-2420
Mailing address
2317 SE BEAVER CREEK LN, TROUTDALE, OR 97060-2353
(503) 453-2420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14064861
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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