NPI 1699668558 · live from the CMS NPI Registry
Alycen Davis Therapy LLC
Social Worker, Clinical in Portland, OR. National Provider Identifier 1699668558, active.
NPI record
| NPI | 1699668558 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 13149 Se Duke St, Portland, OR 97236 |
| Practice phone | 503-449-2961 |
| Mailing address | 5441 S Macadam Ave Ste N, Portland, OR 97239 |
| Enumerated | May 30, 2025 |
| Last updated | May 30, 2025 |
| Authorized official | Alycen Davis, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.