Colette M Davis (NPI# 1902386378, PAC ID# 5890033013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902386378 |
| PAC ID by PECOS | 5890033013 |
| Professional Enrollment ID | I20190214000588 |
| Full Name | Colette M Davis |
| Organization Legal Name | AVALON HEALTH CARE-ROSE HAVEN LLC |
| Address |
2901 E Barnett Rd Medford OR 97504-8308 |
| Phone Number | 5417794221 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577842293 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2860 Creekside Cir, Medford, OR 97504-8442 | 5037798367 | GASTROENTEROLOGY CONSULTANTS PC |
| 2901 E Barnett Rd, Medford, OR 97504-8308 | 5417794221 | AVALON HEALTH CARE-ROSE HAVEN LLC |
| Organization Legal Name | AVALON HEALTH CARE-ROSE HAVEN LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Hanley | Nurse Practitioner | Avalon Health Care-rose Haven LLC | 2075 Nw Highland Ave, Grants Pass, OR 97526-3310 |
| Leandra J Gambee | Nurse Practitioner | Avalon Health Care-rose Haven LLC | 740 Nw Hill Ave, Roseburg, OR 97471-1672 |
| Margaret N Njonjo | Internal Medicine | Avalon Health Care-rose Haven LLC | 740 Nw Hill Ave, Roseburg, OR 97471-1672 |
| Shannon B Suhr | Nurse Practitioner | Avalon Health Care-rose Haven LLC | 740 Nw Hill Ave, Roseburg, OR 97471-1672 |
| Shelley Ann Hart | Nurse Practitioner | Avalon Health Care-rose Haven LLC | 2075 Nw Highland Ave, Grants Pass, OR 97526-3310 |
| Street Address |
2901 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Colette M Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.