GREGORY J DAVENPORT


Address: 3500 N Interstate Ave, Portland, OR 97227-1196
Phone: 5033316101

GREGORY J DAVENPORT (NPI# 1972542009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972542009
Entity Type Individual
Full Name GREGORY J DAVENPORT
Credential PA-C
Practice Address 3500 N Interstate Ave
Portland
OR 97227-1196
Practice Telephone 5033316101
Enumeration Date 2006-06-05
Last Update Date 2007-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10003132 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8357766 05

Other Providers GREGORY DAVENPORT

NPI Name Taxonomy Address Enumeration
1750845418 Gregory Davenport Case Manager/Care Coordinator 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 2019-01-28
1174043681 Gregory Davenport Marriage & Family Therapist 17330 Newhope St Ste A, Fountain Valley, CA 92708-4225 2017-06-26
1699976126 Gregory Alan Davenport Dentist 277 S High St, Cortland, OH 44410-1461 2007-05-31

Office Location

Street Address 3500 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97227-1196

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922513910 Emily A Vanlaningham Social Worker 3500 N Interstate Ave, Portland, OR 97227-1196 2017-12-12
1770026023 Debra Viegas Pharmacist 3500 N Interstate Ave, Portland, OR 97227-1196 2016-11-18
1619419942 Stephen Glenn Pharmacist 3500 N Interstate Ave, Portland, OR 97227-1196 2016-11-17
1467903013 Kaiser Foundation Health Plan of The Northwest General Practice 3500 N Interstate Ave, Portland, OR 97227-1196 2016-10-19
1871043422 Robbi Shannon Pharmacist 3500 N Interstate Ave, Portland, OR 97227-1196 2016-10-06
1801125521 Lucie Krenek Orthopaedic Surgery 3500 N Interstate Ave, Portland, OR 97227-1196 2009-12-08
1366779019 Diana Muresan Pulmonary Function Technologist 3500 N Interstate Ave, Portland, OR 97227 2009-11-17
1811141880 Kaiser Foundation Health Plan of The Northwest Clinical Medical Laboratory 3500 N Interstate Ave, Portland, OR 97227-1196 2008-11-04
1255581385 Sheila Ann Jiroch Respiratory Therapist, Registered 3500 N Interstate Ave, Portland, OR 97227-1196 2008-09-25
1407006471 Richard A Corneliuz Pulmonary Function Technologist 3500 N Interstate Ave, Portland, OR 97227-1196 2008-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

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.

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