Nina Lucille Davis, is a
Case Manager/care Coordinator based in Portland, Oregon. Nina Lucille Davis is licensed to practice in * (Not Available) (license number ) and her current practice location is
847 Ne 19th Ave Ste 100, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 238-0769.
NPI number for Nina Lucille Davis is 1255806758 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255806758.
Healthcare Provider's Profile
Full Name | Nina Lucille Davis |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 847 Ne 19th Ave Ste 100, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255806758
- Provider Enumeration Date: 10/11/2018
- Last Update Date: 01/08/2019
Medical Identifiers
Medical identifiers for Nina Lucille Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255806758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Nina Lucille 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 |
Nina Lucille Davis, Po Box 8459, Portland, OR 97207-8459 Ph: () - | Nina Lucille Davis, 847 Ne 19th Ave Ste 100, Portland, OR 97232 Ph: (503) 238-0769 |
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