Individual
MS. NANCY JEAN DAVIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1962 NW KEARNEY STREET, SUITE 103, PORTLAND, OR 97209
(503) 624-7167
Mailing address
1962 NW KEARNEY STREET, SUITE 103, PORTLAND, OR 97209
(503) 624-7167
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
LCSW634
OR
106H00000X
Marriage & Family Therapist
Primary
LCSW634
OR
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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