GARY DAVIS (NPI# 1396171088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396171088 |
| Entity Type | Individual |
| Full Name | GARY DAVIS |
| Credential | PHD |
| Practice Address |
2020 Se Powell Blvd Portland OR 97202-2345 |
| Practice Telephone | 5032336121 |
| Practice Fax Number | 5032336126 |
| Mailing Telephone | 5032336121 |
| Mailing Fax Number | 5032336126 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255736 | Gary B Davis | Chiropractor | 716 E. 4500 South, Ste. N250, Salt Lake City, UT 84107 | 2006-12-28 |
| 1932276102 | Gary Phillip Davis | Physical Therapy Assistant | Greenwood Sports and Industrial Rehab, 1602 Spring Street, Greenwood, SC 29646 | 2006-11-30 |
| 1720151277 | Gary S Davis | Dentist | 420 E Orange St, Shippensburg, PA 17257 | 2006-11-15 |
| 1952495038 | Gary Wade Davis | Family Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2006-10-03 |
| 1831105931 | Gary Kenneth Davis | Counselor | 1611 South Main, Ste17, Ho[pkinsville, KY 42240 | 2006-07-31 |
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1982695409 | Gary D Davis | Dentist | 1309 Briarville Rd, Suite 101, Madison, TN 37115-5157 | 2005-11-03 |
| 1790309003 | Gary Ralph Davis | Social Worker | 275 Pine Valley Rd, Berea, KY 40403-9544 | 2020-06-02 |
| 1275004392 | Gary Davis | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661-9660 | 2018-12-16 |
| 1477969418 | Gary Davis | Counselor | 1200 W Walnut St Ste 3100, Rogers, AR 72756-3524 | 2014-07-10 |
| Street Address |
2020 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275967184 | Youth Progress Association | Behavioral Analyst | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2013-08-27 |
| 1992356406 | Mariana Chacon | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-09-25 |
| 1467003970 | David Patrick Zahn | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-09-25 |
| 1407413743 | Luis A Samayoa | Case Manager/Care Coordinator | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-05-22 |
| 1285291500 | Brittany Leecing | Case Manager/Care Coordinator | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-05-22 |
| 1891358859 | Zoe Burgher | Student in an Organized Health Care Education/Training Program | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-04-16 |
| 1003479296 | Alyssa J Distor | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-04-15 |
| 1831652445 | Taylor Strain | Counselor | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-04-10 |
| 1013479351 | Stephania Sepulveda | Case Manager/Care Coordinator | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-04-04 |
| 1487137451 | Elise Scribner | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616325 | Kathleen Gregorich Hoffman | Psychologist | 3245 Nw Thurman St, Portland, OR 97210-1224 | 2013-09-16 |
| 1558708461 | Anthony Michael Duncan | Psychologist | 2236 Se Belmont St, Portland, OR 97214-2817 | 2013-05-31 |
| 1083998611 | Kaufman Psychological Services | Psychologist | 1321 Washington Ave Ste 102, Portland, ME 04103-3636 | 2011-09-30 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| 1346574449 | Jerusha Beth Detweiler-bedell | Psychologist | 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 | 2009-09-23 |
| 1386845048 | Morris Tiktin | Psychologist | 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 | 2007-05-30 |
| 1235341629 | Muriel D. Lezak | Psychologist | 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 | 2007-05-05 |
| 1952528952 | Melisa L. Finch | Psychologist | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2007-04-19 |
| 1992712103 | Maryann J Carroll | Psychologist | 25 Bedell St, Portland, ME 04103-1705 | 2006-08-01 |
| 1588642953 | Joseph Peter Gretsch | Psychologist | 818 Sw 3rd Ave, #148, Portland, OR 97204-2405 | 2006-01-05 |
| 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.