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ROBERT O DAVIS NPI 1922679240


NPI Information

NPI: 1922679240
Provider Name: ROBERT O DAVIS
Classification: Prevention Professional - 405300000X
Entity Type: Individual
Address:
46314 TIMINE WAY
PENDLETON, OR
ZIP 97801
Phone: (541) 966-9830
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Robert O Davis is a prevention professional in Pendleton, OR. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. Robert O Davis NPI is 1922679240. 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:

46314 TIMINE WAY
PENDLETON, OR
ZIP 97801
Phone: (541) 966-9830

The enumeration date for this NPI number is 7/7/2021 and was last updated on 7/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)T-17-405OREGONNo
2405300000XPrevention Professional21-CRM-569OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T-17-405OTHEROREGONMHACBO

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: 4/28/2024

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