Dustin James Davis, QMHA, CPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

4660 NE Belknap CT Ste 101H
Hillsboro, OR 97124-8403

Phone

(503) 729-2384

Fax

(855) 240-3947

NPI assigned

Aug 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dustin James Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1114572831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 COLUMBIA BLVD # 507",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511737",
            "telephone_number": "503-729-2384",
            "fax_number": "855-240-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 101H",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248403",
            "telephone_number": "503-729-2384",
            "fax_number": "855-240-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "credential": "QMHA, CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "DAVIS",
            "middle_name": "JAMES",
            "credential": "QMHA, CPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Davies
• Nancy Louise Davies, CSWA
• Sophia Marie Davies
• Krista Marie Davis-Nuhong
• Caroline Elyse Davis, LMT
• Elaine J. Davis, LMFT, LPC
• Louise Davis, LCSW
• Lydia Susanne Davis, B.S., R.PH.
• Sophie Davis
• Trent Jared Davis

• Licensed Psychiatric Technician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Licensed Psychiatric Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.