Matthew S Davis MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60849018 Issued in WA

Legal business name

MATTHEW S DAVIS MD PLLC

Practice address

2501 NE 134TH St Ste 203
Vancouver, WA 98686-3028

Phone

(971) 770-1449

NPI assigned

Jul 25, 2018

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew S Davis, MDNPI 1902076342

Title

Owner

Phone

(626) 318-5854

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew S Davis, M.D.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1902076342
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1063999639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 NE HAZELFERN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322628",
            "telephone_number": "626-318-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST STE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863028",
            "telephone_number": "971-770-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S DAVIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-318-5854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60849018",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60849018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin J Matovich, DMD
• Christopher John Matsie, LMT
• Megan Mattappally
• Joseph Matter
• Erica Lynn Matteson, CD(DONA), PCD(DONA)
• Bruce R Matthews, MA 60231903
• Isabel Leanne Matthews
• Joy E Matthews, MD
• Kerry Anne Matthews, MD
• Kristin Matthews, LMP

• Psychiatry Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.