DEIDRE NICOLE DAVIS (NPI# 1174854467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174854467 |
| Entity Type | Individual |
| Full Name | DEIDRE NICOLE DAVIS |
| Credential | MSW |
| Practice Address |
3325 N Interstate Ave Portland OR 97227-1020 |
| Mailing Address |
21150 Sw 86th Ct Tualatin OR 97062-9171 |
| Practice Telephone | 5033316131 |
| Practice Fax Number | 5033316460 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861978298 | Deidre Davis | Behavior Technician | 1231 10th St, Daytona Beach, FL 32117-3237 | 2018-07-18 |
| 1386957165 | Deidre Marie Davis | Speech-Language Pathologist | 22 Park Pl, Mount Vernon, NY 10552-2321 | 2010-07-21 |
| 1134522311 | Deidre Davis | Technician, Other | 15565 Northland Dr W Ste 411, Southfield, MI 48075-5317 | 2014-10-02 |
| 1851664676 | Deidre Davis | Technician, Pathology | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-02-10 |
| Street Address |
3325 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807720 | Cheryl A Miranda | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2006-05-12 |
| 1003367657 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-10-19 |
| 1568814952 | Lindsey Moser | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-07-08 |
| 1821449919 | Taben Main | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-06-29 |
| 1457741068 | Audrey Nguyen | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2015-02-03 |
| 1245665769 | Abbey Shoultz | Social Worker | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2013-09-04 |
| 1801153887 | Erin Schalles | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2012-04-16 |
| 1841556552 | Gary Kim | Anesthesiology | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2012-04-06 |
| 1215232871 | Marian J Morse | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2011-01-12 |
| 1245559129 | Lindsay Dawn Craft | Counselor | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| Find all providers in PORTLAND | ||||
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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.