Davenport, David E

Davenport, David E is an individual health care provider with primary practice located at 1204 N Vercler Rd Ste 101, Spokane Valley WA 99216-1020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Davenport, David E can be contacted via phone (509) 228-1000.

Contact Information

Primary practice address
1204 N Vercler Rd Ste 101 Spokane Valley WA 99216-1020
Fax: (509) 252-9300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X M5335 Idaho

Profile Details

NPI number 1558353052
LBN Legal business name Davenport, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 27th, 2017 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558353052 NPPES
Idaho MEDICAID 003666600
Idaho Other 320000487

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