Mr Larry Allen Davis, PT is a
Physical Therapist based in Clatskanie, Oregon. Mr Larry Allen Davis is licensed to practice in Oregon (license number 0713) and his current practice location is
401 Sw Bel Air Dr, Clatskanie, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 728-0424.
NPI number for Mr Larry Allen Davis is 1568445468 and his current mailing address is Po Box 927, Clatskanie, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568445468.
Healthcare Provider's Profile
Full Name | Mr Larry Allen Davis |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 401 Sw Bel Air Dr, Clatskanie, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568445468
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Larry Allen Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568445468 | NPI | - | NPPES |
269746 | Medicaid | OR | |
L3054-03 | Other | OR | PACIFIC SOURCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 0713 (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. Mr Larry Allen 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 |
Mr Larry Allen Davis, PT Po Box 927, Clatskanie, OR 97016-0927 Ph: (503) 728-0424 | Mr Larry Allen Davis, PT 401 Sw Bel Air Dr, Clatskanie, OR 97016 Ph: (503) 728-0424 |
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