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Contact Information

ROBERT DAVIS, PA-C
789 WASHINGTON WEST
VALE, OR97918
 Phone: 541-473-2101
 Fax: 541-473-2668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROBERT DAVIS · (Male)

NPI # 1457352486
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/01/2005
Last updated 03/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA00345
Hospital affiliation(s) Not Available
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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