Individual provider · Type 1 NPI

Roxanne Davis

Professional Counselor · Portland, OR

NPI number 1821441130 Active

Practice location

4941 NE 17th Ave
Portland, OR 97211-5709

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC6119 (OR)

Professional Counselor: Definition to come...

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About NPI 1821441130

Roxanne Davis's National Provider Identifier is 1821441130, issued on Jul 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2024.