National Provider Identifier Database

KELLEY R DAVIS, DNP, RN, CPNP-PC – NPI #1043778418
Pediatrics


Contact Information

KELLEY R DAVIS, DNP, RN, CPNP-PC
300 N GRAHAM ST STE 420
PORTLAND, OR97227-1667
Phone: 503-276-6138
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for KELLEY R DAVIS

NPI Number 1043778418
Credentials DNP, RN, CPNP-PC
Entity Individual
Enumeration date 03/05/2019
Last updated 06/24/2025 - About 12 months ago
Sole proprietor1 No
Identifiers
  • OR License #: 202000767NP-PP
Hospital affiliation n/a

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.

Reviews for KELLEY R DAVIS, DNP, RN, CPNP-PC

There are currently no reviews for KELLEY R DAVIS, DNP, RN, CPNP-PC


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