Davis, Robert O

Davis, Robert O is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Davis, Robert O can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
46314 Timine Way Pendleton OR 97801
Phone: (541) 966-9830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-17-405 Oregon
Other Service Providers / Prevention Professional 405300000X 21-CRM-569 Oregon

Profile Details

NPI number 1922679240
LBN Legal business name Davis, Robert O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Jul 11th, 2023 - about last year

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 1922679240 NPPES
Oregon Other T-17-405 MHACBO

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