ELISE LOUISE DAVENPORT LCSW NPI 1467870048

NPI Information

  • NPI: 1467870048
  • Provider Name: ELISE LOUISE DAVENPORT, LCSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 SW COLUMBIA ST
    SUITE 6210
    BEND, OR
    ZIP 97702
  • Phone: (541) 383-3005

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NPI Details

Elise Louise Davenport, LCSW is an addiction (substance use disorder) counselor in Bend, OR. Elise Louise Davenport, LCSW NPI is 1467870048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 SW COLUMBIA ST
SUITE 6210
BEND, OR
ZIP 97702-099
Phone: (541) 383-3005
Fax: (541) 383-1883

The NPI 1467870048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 9/19/2016.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)L6685OREGONYes

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 Other Provider Identifier Issuer
1R189337MEDICARE PINOREGON

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: 3/30/2025

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