COLLIN THOMAS DAVIDSON (NPI# 1649527391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649527391 |
| Entity Type | Individual |
| Full Name | COLLIN THOMAS DAVIDSON |
| Practice Address |
6018 Se Stark St Portland OR 97215-1990 |
| Mailing Address |
Po Box 1677 Fairview OR 97024-1677 |
| Practice Telephone | 5037305760 |
| Mailing Telephone | 5037305760 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L8090 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1904 Se Division St, Portland, OR 972021146 | 5035178663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821364001 | Collin Davidson | Psychologist | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2012-04-01 |
| 1376648840 | Collin Davidson | Dentist | 6087 S Redwood Rd, Suite C, Taylorsville, UT 84123-5330 | 2006-09-13 |
| Street Address |
6018 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003908120 | Kimberly Susan Shotz | Acupuncturist | 6018 Se Stark St, Ste 103, Portland, OR 97215-1990 | 2006-09-28 |
| 1174169890 | Pacnorthwest Counseling | Clinic/Center | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-11-19 |
| 1619520566 | Renee Barnett | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-07-19 |
| 1700365541 | Elizabeth Lenkeit Hoke | Marriage & Family Therapist | 6018 Se Stark St, Portland, OR 97215-1990 | 2018-08-13 |
| 1316484355 | Miho Hatanaka | Dietitian, Registered | 6018 Se Stark St, Portland, OR 97215 | 2017-01-29 |
| 1770956484 | Charlotte Elisabeth Kahler | Massage Therapist | 6018 Se Stark St, Suite 103, Portland, OR 97215-1990 | 2015-11-03 |
| 1518335280 | Amia Huang | Psychologist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-10 |
| 1710355755 | Kimberly M Crow | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-08 |
| 1285016451 | Tabor View Health and Wellness | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-06-24 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| 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.