Robert O Davis, is a
Prevention Professional based in Pendleton, Oregon. Robert O Davis is licensed to practice in Oregon (license number 21-CRM-569) and his current practice location is
46314 Timine Way, Pendleton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 966-9830.
NPI number for Robert O Davis is 1922679240 and his current mailing address is Po Box 160, Pendleton, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922679240.
Healthcare Provider's Profile
Full Name | Robert O Davis |
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Gender | Male |
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Speciality | Prevention Professional |
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Location | 46314 Timine Way, Pendleton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922679240
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/11/2023
Medical Identifiers
Medical identifiers for Robert O Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922679240 | NPI | - | NPPES |
T-17-405 | Other | OR | MHACBO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | T-17-405 (Oregon) | Secondary |
405300000X | Prevention Professional | 21-CRM-569 (Oregon) | 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. Robert O 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 |
Robert O Davis, Po Box 160, Pendleton, OR 97801 Ph: (541) 966-9830 | Robert O Davis, 46314 Timine Way, Pendleton, OR 97801 Ph: (541) 966-9830 |
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