JON NICOLE DAVIS (NPI# 1184793903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184793903 |
| Entity Type | Individual |
| Full Name | JON NICOLE DAVIS |
| Other Name | J. NICOLE COOPER |
| Credential | PA-C |
| Practice Address |
7705 Se Division St Portland OR 97206-1059 |
| Mailing Address |
241 Se 55th Ave Portland OR 97215-1169 |
| Practice Telephone | 5037773311 |
| Practice Fax Number | 5037775466 |
| Mailing Telephone | 5032300971 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | OR PA00516 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947382 | Jon Barry Davis | Physical Therapist | 1129 Wade Rd, Kingsbury, TX 78638-1642 | 2020-03-18 |
| 1922197359 | Jon Gregory Davis | Dentist | 161 Sherman St, Fairfield, CT 06824-5823 | 2006-10-12 |
| 1518335405 | Jon William Davis | Registered Nurse | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2015-09-09 |
| 1053549139 | Jon C Davis | Dermatology | 421 Chestnut St, Evansville, IN 47713-1227 | 2009-06-26 |
| 1962548289 | Jon Martin Davis | Marriage & Family Therapist | 3191 Churn Creek Rd, Redding, CA 96002 | 2007-01-30 |
| 1376605881 | Jon Davis | Social Worker | 202 W Park Ave, Champaign, IL 61820-3929 | 2006-12-14 |
| 1427145333 | Jon Winborn Davis | Physical Therapist | 569 Skyline Dr, Ste 100, Jackson, TN 38301-3911 | 2006-10-10 |
| 1205927795 | Jon Daniel Davis | Social Worker | Usameddac Wuerzburg, Attn: Credentials Office, Unit 26610, Apo, AE 09244-6610 | 2006-09-27 |
| 1750481024 | Jon Michael Davis | Chiropractor | 71 10th Ave S, Waite Park, MN 56387-1040 | 2006-09-25 |
| 1518958867 | Jon Steven Davis | Pediatrics | 10000 Se Main St, Suite 105, Portland, OR 97216-2448 | 2005-11-03 |
| Street Address |
7705 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1194979161 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 7705 Se Division St, Portland, OR 97206-1059 | 2008-11-04 |
| 1255598371 | Helene M Lien | Social Worker | 7705 Se Division St, Portland, OR 97206-1059 | 2008-05-16 |
| 1437247343 | Margo Mcgehee-kelly | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-10-10 |
| 1801983903 | Marcia Anne Bechtold | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-10-09 |
| 1992806145 | James Robert Warner | Physician Assistant | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-26 |
| 1992802565 | Patricia T Franklin | Nurse Practitioner | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-17 |
| 1538265426 | Annette Diane Guido | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-16 |
| 1326142779 | Donna Jean Albrecht | Nurse Practitioner | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-07 |
| 1033211511 | Wui-leong Koh | Family Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| 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.