Davis, Jon Steven

Davis, Jon Steven is an individual health care provider with primary practice located at 10000 Se Main St Suite 105, Portland OR 97216-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davis, Jon Steven can be contacted via phone (503) 255-3544.

Contact Information

Primary practice address
10000 Se Main St Suite 105 Portland OR 97216-2448
Phone: (503) 255-3544
Fax: (503) 251-6827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10416 Oregon

Profile Details

NPI number 1518958867
LBN Legal business name Davis, Jon Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 29th, 2013 - about 12 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 1518958867 NPPES
Oregon MEDICAID 048736

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