DONALD DRAVIS (NPI# 1215142294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215142294 |
| Entity Type | Individual |
| Full Name | DONALD DRAVIS |
| Credential | M.D. |
| Practice Address |
Oregon State Penitentiary 2605 State Street Salem OR 97310-0001 |
| Mailing Address |
Counseling and Treatment Services 2575 Center Street Ne Salem OR 97310-0001 |
| Practice Telephone | 5033782446 |
| Practice Fax Number | 5033783228 |
| Mailing Telephone | 5033782446 |
| Mailing Fax Number | 5033783228 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD21645 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
OREGON STATE PENITENTIARY 2605 STATE STREET |
| City | SALEM |
| State | OR |
| Zip Code | 97310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740378850 | Susan Owre Gelberg | Psychologist | 2605 State Street, Oregon State Penitentiary, Salem, OR 97310 | 2006-10-11 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
| 1013329911 | Ricardo Olalde | Counselor | Freedom & Recovery Program A D Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-05-27 |
| 1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
| 1881819563 | Daryl Spencer Ruthven | Psychiatry & Neurology | 2575 Center St Ne, Counseling & Treatment Services, Salem, OR 97310-0001 | 2007-04-16 |
| 1538495734 | Ole Hansen | Family Medicine | 2605 State St, Salem, OR 97310-1346 | 2009-10-22 |
| 1083263529 | David Brown | Student in an Organized Health Care Education/Training Program | 2605 State St, Salem, OR 97310-1346 | 2019-09-07 |
| 1831466051 | Pamela Rae Ward | Counselor | 2605 State St, Salem, OR 97310-1346 | 2011-11-17 |
| 1851620850 | Mark Anthony Menes | Dentist | 2605 State St, Salem, OR 97310-1346 | 2009-12-22 |
| Find all providers in zip 97310 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558430470 | Phil Washburn | Psychiatry & Neurology | 251 W Hwy 198, Salem, UT 84653-0786 | 2006-11-07 |
| 1780788901 | Alexander Earle Horwitz IIi | Psychiatry & Neurology | 265 Commercial St Se, Ste 280, Salem, OR 97301-3461 | 2006-09-08 |
| 1316972524 | Gilberto De Jesus-rentas | Psychiatry & Neurology | 2755 Commercial St Se, #101-315, Salem, OR 97302-4981 | 2006-07-12 |
| 1356634778 | Kavya Singareddy | Psychiatry & Neurology | 81 Highland Ave, Department of Psychiatry, Salem, MA 01970-2714 | 2011-05-18 |
| 1528371101 | Tushar J Makadia | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301-2669 | 2010-07-23 |
| 1629251301 | Michael P Duran | Psychiatry & Neurology | 2600 Center St Ne, Oregon State Hospital Salem, Salem, OR 97301 | 2007-12-17 |
| 1679677801 | Scott Mitchell Reichlin | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659614998 | Pia Quimson-guevarra | Psychiatry & Neurology | 1975 Nw 167th Pl Ste 100-200, Beaverton, OR 97006-4908 | 2013-04-04 |
| 1285891085 | Tyler Jones | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # Uhn80, Department of Psychiatry, Portland, OR 97239-3011 | 2008-05-20 |
| 1194900084 | Heather Lynn Knott | Psychiatry & Neurology | 12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902 | 2008-01-09 |
| 1831307768 | Stephanie M Lopez | Psychiatry & Neurology | Uhn 80 3181 Sw Sam Jackson Park Road, Portland, OR 97239-3098 | 2007-05-21 |
| 1841397411 | Beth Ann Howell | Psychiatry & Neurology | 3 Monroe Pkwy, Suite P-427, Lake Oswego, OR 97035-1486 | 2006-09-17 |
| 1639272024 | Alexander Robert Burt | Psychiatry & Neurology | 1121 Ne 2nd, Oregon State Hospital, Portland, OR 97232 | 2006-09-07 |
| 1558359687 | John Oakley Beahrs | Psychiatry & Neurology | 3006 Ne Bryce St, Portland, OR 97212-1718 | 2005-10-12 |
| 1487659298 | Sam Michael Sasser | Psychiatry & Neurology | 1762 E Mcandrews Rd, Ste D, Medford, OR 97504-5577 | 2005-06-17 |
| 1861636334 | Eugene Edward Klecan | Psychiatry & Neurology | 4800 Sw Meadows Rd, Ste 300, Lake Oswego, OR 97035-4264 | 2009-04-28 |
| 1184882623 | Liana Felicia Hategan | Psychiatry & Neurology | 3370 Sw 192nd Ave, Beaverton, OR 97003-2346 | 2008-05-31 |
| Find all providers with the same taxonomy | ||||
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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.