ROBERT DAVIS PA-C NPI 1457352486

NPI Information

NPI: 1457352486
Provider Name: ROBERT DAVIS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
789 WASHINGTON WEST
VALE, OR
ZIP 97918
Phone: (541) 473-2101
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Robert Davis, PA-C is a medical physician assistant in Vale, OR. Robert Davis, PA-C NPI is 1457352486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

789 WASHINGTON WEST
VALE, OR
ZIP 97918
Phone: (541) 473-2101
Fax: (541) 473-2668

The enumeration date for this NPI number is 8/1/2005 and was last updated on 3/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00345	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P26844	MEDICARE UPIN	OREGON
2	R109028	MEDICARE PIN	OREGON
3	R151295	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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