Robert O. Davis

Prevention Professional · Pendleton, OR

Individual Active NPI

NPI number 1922679240

Practice location

46314 Timine Way
Pendleton, OR 97801
Phone
(541) 966-9830

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NPI record

NPI
1922679240
Entity type
Individual (Type 1)
Enumeration date
July 7, 2021
Last updated
July 11, 2023
Certified
July 11, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prevention Professional Primary 405300000X 21-CRM-569 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X T-17-405 OR

Mailing address

PO Box 160
Pendleton, OR 97801
Phone
(541) 966-9830

Other practice locations (1)

  • 1184 McGee Ct NE, Keizer, OR 97303-9443 · (503) 304-4358

About Robert Davis

Robert O. Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Prevention Professional (code 405300000X). The practice location is 46314 Timine Way, Pendleton, OR 97801. The NPI number 1922679240 was assigned on July 7, 2021 and the record was last updated on July 11, 2023.

Robert Davis lists 2 licenses in the registry: #21-CRM-569 (OR) for Prevention Professional; #T-17-405 (OR) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert O. Davis?

The NPI number is 1922679240.

What is the phone number of Robert Davis?

The phone number listed for the practice location is (541) 966-9830.

Where is Robert Davis located?

46314 Timine Way, Pendleton, OR 97801.

What is the taxonomy code for Robert Davis?

The primary taxonomy code is 405300000X – Prevention Professional; 1 more listed above.

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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