Davidson, Joselyn S

Davidson, Joselyn S is an individual health care provider with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Davidson, Joselyn S can be contacted via phone (503) 221-3424.

Contact Information

Primary practice address
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD150383 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1215071055
LBN Legal business name Davidson, Joselyn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Nov 19th, 2012 - 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 1215071055 NPPES
Oregon Other MD150383 LICENSE

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