MEDICARE: ALYCEN DAVIS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1699668558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALYCEN DAVIS THERAPY LLC

Provider Business Mailing Address
First Line	:	5441 S MACADAM AVE STE N
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-6106
Country	:	US
Telephone Number	:	503-278-7279
Fax Number	:

Provider Business Practice Location Address
First Line	:	13149 SE DUKE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97236-4576
Country	:	US
Telephone Number	:	503-449-2961
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYCEN DAVIS
Credential	:	LCSW
Telephone Number	:	503-449-2961

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	05/30/2025

Similar Medicare Providers

1134428055 — JESSICA REED M.A., BCBA, LBA
Practice Location Address:

3720 SW BOND AVE UNIT 1816
PORTLAND, OR
97239-4576

Practice Phone: 503-877-3996
Practice Fax:

1396190930 — REED BEHAVIOR SUPPORT, LLC
Practice Location Address:

3720 SW BOND AVE UNIT 1816
PORTLAND, OR
97239-4576

Practice Phone: 530-524-8729
Practice Fax:

1952759151 — JORDAN KERKVLIET RBT
Practice Location Address:

3720 SW BOND AVE UNIT 1816
PORTLAND, OR
97239-4576

Practice Phone: 503-877-3996
Practice Fax:

1316497605 — BRITTANY WHITE RBT
Practice Location Address:

3720 SW BOND AVE UNIT 1816
PORTLAND, OR
97239-4576

Practice Phone: 503-877-3996
Practice Fax:

1023698032 — SKYLAR OWEN WINDHAM
Practice Location Address:

2929 SE STARK ST APT 207
PORTLAND, OR
97214-4576

Practice Phone: 503-309-9793
Practice Fax:

1538773155 — MAMIE NZIGIRE ZAGABE
Practice Location Address:

12710 SE DIVISION ST
PORTLAND, OR
97236-3134

Practice Phone: 503-988-5558
Practice Fax: 503-988-5810

Directions to “ALYCEN DAVIS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.