CARA DAVIDSON ELLIS (NPI# 1639303944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639303944 |
| Entity Type | Individual |
| Full Name | CARA DAVIDSON ELLIS |
| Other Name | CARA C DAVIDSON |
| Credential | MD |
| Practice Address |
315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6998 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 3608162700 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60296002 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE - PHS | P01178829 | 01 |
| OR | 500649465 | 05 |
| Street Address |
315 SE STONE MILL DR SUITE 102 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753099 | Fatima S Shah | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2005-07-08 |
| 1982026241 | Providence Health & Services - Oregon | Clinic/Center | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2014-01-06 |
| 1982030656 | Providence Health & Services - Oregon | Clinic/Center | 315 Se Stone Mill Dr, Suite 200, Vancouver, WA 98684-6998 | 2013-09-25 |
| 1073896551 | Providence Health & Services-oregon | Radiologic Technologist | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2011-09-21 |
| 1538458807 | Providence Health & Services - Oregon | Internal Medicine | 315 Se Stone Mill Dr, Suite 220, Vancouver, WA 98684-6987 | 2011-04-07 |
| 1629225404 | Linda Ruth Klein | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2008-08-22 |
| 1699921387 | Huma I Sadiq | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2008-08-13 |
| 1326294117 | Providence Health & Services Oregon | Radiology | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6987 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851912430 | Martin Braun | Family Medicine | 750 West Broadway, #309, Vancouver, BC V5Z1H2 | 2020-05-05 |
| 1063973329 | James Salzman | Family Medicine | 4637 West 6th Avenue, Vancouver, BRITISH COLUMBIA V6R 1V6 | 2019-03-28 |
| 1144759168 | Ross Tyler Avila | Family Medicine | 505 Ne 87th Ave Ste 260, Vancouver, WA 98664-1965 | 2017-06-05 |
| 1881959765 | Richard Alan Simmons | Family Medicine | 204 Ne 108th St, Vancouver, WA 98685-5259 | 2012-07-07 |
| 1386925592 | Dbenzmdpllc | Family Medicine | 19110 Ne 21st St, Vancouver, WA 98684-0907 | 2011-08-31 |
| 1245557198 | Clifford William Wagner | Family Medicine | 9120 Ne Vancouver Mall Loop, Suite 230, Vancouver, WA 98662-6353 | 2010-04-30 |
| 1396078770 | Erol Dilli | Family Medicine | 517-750 West Broadway, Vancouver, BC V5Z 1H4 | 2009-09-16 |
| 1285866582 | Ester H See-sebastian | Family Medicine | 700 Ne 87th Ave Ste 260, Vancouver, WA 98664-4896 | 2009-08-20 |
| 1689812570 | Heidi Radlinski | Family Medicine | 100 East 33rd Street, Suite 100, Family Medicine - Obstetrics, Vancouver, WA 98663 | 2009-01-30 |
| Find all providers in VANCOUVER | ||||
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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.