Individual
MS. LISA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11895 SW GREENBURG RD, TIGARD, OR 97223-6450
(503) 726-3816
Mailing address
PO BOX 19423, PORTLAND, OR 97280-0423
(971) 275-2263
(503) 726-3817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4191
OR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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