Kelley Rebecca Davis, DNP, RN, CPNP-PC

Pediatric Nurse Practitioner · Portland, OR

Individual Active NPI

NPI number 1043778418

Practice location

300 N Graham St Ste 420
Portland, OR 97227-1667
Phone
(503) 276-6138

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NPI record

NPI
1043778418
Entity type
Individual (Type 1)
Enumeration date
March 5, 2019
Last updated
June 24, 2025
Certified
June 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 202000767NP-PP OR

About Dr. Davis

Kelley Rebecca Davis, DNP, RN, CPNP-PC is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 300 N Graham St Ste 420, Portland, OR 97227-1667. The NPI number 1043778418 was assigned on March 5, 2019 and the record was last updated on June 24, 2025.

Dr. Davis lists a license in the registry: #202000767NP-PP (OR) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelley Rebecca Davis, DNP, RN, CPNP-PC?

The NPI number is 1043778418.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (503) 276-6138.

Where is Dr. Davis located?

300 N Graham St Ste 420, Portland, OR 97227-1667.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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