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Contact Information

MOLLY C DAVIS, ANP
4805 NE GLISAN ST STE 11N
PORTLAND, OR97213-2933
 Phone: 503-215-1350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOLLY C DAVIS · (Female)

NPI Number 1154809903
Status Active
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 08/03/2018
Last updated 09/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201806978NP-PP
  • WA License # AP60883508
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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