Jordan Davis, is a
Student In An Organized Health Care Education/training Program based in Corvallis, Oregon. Jordan Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is
4455 Ne Highway 20, Corvallis, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 758-5900.
NPI number for Jordan Davis is 1326746645 and his current mailing address is 3415 Se Powell Blvd, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326746645.
Healthcare Provider's Profile
| Full Name | Jordan Davis |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4455 Ne Highway 20, Corvallis, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326746645
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 02/16/2023
Medical Identifiers
Medical identifiers for Jordan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326746645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Davis,
3415 Se Powell Blvd,
Portland, OR 97202-3371
Ph: (503) 234-9591 | Jordan Davis,
4455 Ne Highway 20,
Corvallis, OR 97330-9695
Ph: (541) 758-5900 |
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