MOLLY CHRISTINE DAVIS (NPI# 1154809903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154809903 |
| Entity Type | Individual |
| Full Name | MOLLY CHRISTINE DAVIS |
| Credential | ANP |
| Practice Address |
4805 Ne Glisan St Ste 11n Portland OR 97213-2933 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032151350 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60883508 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201806978NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Ne 87th Ave, Vancouver, WA 98664 | 3608822778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654476 | Molly Lynn Davis | Nurse Practitioner | 875 Smokerise Dr, Medina, OH 44256-2775 | 2020-09-23 |
| 1043836133 | Molly Bryan Davis | Physical Therapist | 154 Merritt Dr, Tupelo, MS 38801-9356 | 2020-06-24 |
| 1629577143 | Molly Sue Davis | Registered Nurse | University of Colorado Hospital 12605 E 16th Ave, Aurora, CO 80045 | 2018-02-10 |
| 1558470252 | Molly Davis | Speech-Language Pathologist | 6100 Griffin Rd, Davie, FL 33314-4416 | 2006-08-29 |
| 1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
| 1598386229 | Molly Davis | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-05-05 |
| 1780151688 | Molly Maureen Davis | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-10-29 |
| 1124547435 | Molly Jo Davis | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750 | 2017-09-18 |
| 1023547882 | Molly Gretchen Davis | Counselor | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-06 |
| 1497100804 | Molly Kay Davis | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-04 |
| Street Address |
4805 NE GLISAN ST STE 11N |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1205479441 | Angie M Kang | Pharmacist | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2019-10-21 |
| 1023576659 | Rhezarie Mae A Agtarap | Registered Nurse | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2019-03-01 |
| 1649716267 | Garrett Wilson | Physician Assistant | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2017-01-07 |
| 1336568369 | Hasnain A Hasham | Radiology | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2014-04-07 |
| 1497098941 | Evelyn M Brosnan | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2013-04-03 |
| 1063655967 | Heidi J Hansen | Dentist | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2009-04-08 |
| 1316197692 | Providence Health & Services Oregon | Clinic/Center | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
| 1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
| 1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
| 1992115851 | Lizzie Colon | Nurse Practitioner | 5000 N Willamette Blvd, Portland, OR 97203 | 2014-04-30 |
| 1376885137 | Aimee Finau Cama | Nurse Practitioner | 6410 Ne Halsey St Ste 300, Portland, OR 97213 | 2013-03-20 |
| 1235408048 | Michael Dawson | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2011-12-22 |
| 1720304843 | Amy M Long | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2010-04-14 |
| 1255447447 | Eileen Gilmartin | Nurse Practitioner | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-08-22 |
| 1043247059 | Virginia Lee Harris | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2006-06-26 |
| 1629010574 | Gayle Melinda Miller | Nurse Practitioner | 4610 Se Belmont St, Suite 60, Portland, OR 97215-1752 | 2006-06-12 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.