DUSTIN JAMES DAVIS (NPI# 1114572831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114572831 |
| Entity Type | Individual |
| Full Name | DUSTIN JAMES DAVIS |
| Other Name | DUSTIN JAMES DAVIS |
| Credential | QMHA, CPT |
| Practice Address |
4660 Ne Belknap Ct Ste 101h Hillsboro OR 97124-8403 |
| Mailing Address |
2034 Columbia Blvd # 507 Saint Helens OR 97051-1737 |
| Practice Telephone | 5037292384 |
| Practice Fax Number | 8552403947 |
| Mailing Telephone | 5037292384 |
| Mailing Fax Number | 8552403947 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers | ||
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1598286379 | Dustin Davis | Podiatrist | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-30 |
| 1992155626 | Dustin Wayne Davis | Surgery | 1 Choctaw Way, Talihina, OK 74571-2022 | 2016-06-14 |
| 1518399096 | Dustin Davis | Internal Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2013-08-06 |
| 1649611229 | Dustin Davis | Case Manager/Care Coordinator | 3230 Wisconsin Ave, Joplin, MO 64804-4029 | 2013-07-11 |
| 1063787497 | Dustin Michael Davis | Dentist | 22 95th Dr Ne, Lake Stevens, WA 98258-7975 | 2012-03-19 |
| 1417044157 | Dustin D Davis | Family Medicine | 201 W Market St, Georgetown, DE 19947-1440 | 2006-10-06 |
| Street Address |
4660 NE BELKNAP CT STE 101H |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675690 | Margaret Lagace | Licensed Psychiatric Technician | 1975 Mcpherson St, Suite 2, North Bend, OR 97459-3482 | 2007-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.