WILLIE MICHAEL DAVIS (NPI# 1407157266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407157266 |
| Entity Type | Individual |
| Full Name | WILLIE MICHAEL DAVIS |
| Credential | HEARING AID DISPENSE |
| Practice Address |
1498 E Main St Suite No. 108 Cottage Grove OR 97424-2204 |
| Practice Telephone | 5419428444 |
| Mailing Telephone | 5419428444 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HASP10135362 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON LICENSE NUMBER | HASP10135362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120257 | Willie Davis | Specialist/Technologist, Other | 15 Daisy Place, Buffalo, NY 14208 | 2015-12-04 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| 1366524894 | Willie Ray Davis | Specialist | 11844 Bandera Road, 276, Helotes, TX 78023-4132 | 2006-10-20 |
| 1750847224 | Willie Davis | Case Manager/Care Coordinator | 201 Morris Ave, Monroe, LA 71202-2067 | 2019-02-20 |
| 1336565340 | Willie Davis | Counselor | 583 W Gaines St, Monticello, AR 71655-4637 | 2014-03-14 |
| 1659376952 | Willie Bob Davis | Family Medicine | 20333 W 151st St, Olathe, KS 66061-5350 | 2005-06-15 |
| Street Address |
1498 E MAIN ST SUITE NO. 108 |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619285038 | Merit Rehab, LLC | Physical Therapist | 1498 E Main St, Suite #109, Cottage Grove, OR 97424-2204 | 2010-09-20 |
| 1013370816 | Jenna Buetow | Hearing Instrument Specialist | 1498 E Main St, #108, Cottage Grove, OR 97424-2204 | 2016-03-30 |
| 1457608226 | Craig C Knutson | Hearing Instrument Specialist | 1498 E Main St, Ste 108, Cottage Grove, OR 97424-2204 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918367 | Sue Ann Chamberlain | Hearing Instrument Specialist | 8617 W Point Douglas Rd S Ste 150, Cottage Grove, MN 55016-4161 | 2011-10-06 |
| 1013370816 | Jenna Buetow | Hearing Instrument Specialist | 1498 E Main St, #108, Cottage Grove, OR 97424-2204 | 2016-03-30 |
| 1457608226 | Craig C Knutson | Hearing Instrument Specialist | 1498 E Main St, Ste 108, Cottage Grove, OR 97424-2204 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
| 1144851270 | Katie Cason | Hearing Instrument Specialist | 369 S Columbia River Hwy, Saint Helens, OR 97051-6203 | 2020-01-28 |
| 1619533346 | Carolina Ruvalcaba Lozano | Hearing Instrument Specialist | 1301 Evergreen Rd Ste 120, Woodburn, OR 97071-2802 | 2019-05-17 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1801377171 | Brandon Ray Johnston | Hearing Instrument Specialist | 2285 Highway 101 Ste M, Florence, OR 97439-9722 | 2018-08-24 |
| 1013498377 | Best for Hearing | Hearing Instrument Specialist | 2285 Highway 101, Ste. M, Florence, OR 97439-9743 | 2018-08-24 |
| 1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on WILLIE MICHAEL DAVIS.
| 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.