Organization Active NPI

Tamme Davis, D.O., PLLC

  • Medical Specialty Clinic/Center
  • Vancouver, WA
National Provider Identifier
1124350814
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OP00001463 Issued in WA
Legal business name
TAMME DAVIS, D.O., PLLC
Practice address
11801 NE 65TH St
Suite a
Vancouver, WA 98662-5527
Phone
(360) 892-0208
Fax
(360) 892-9081
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Tamme Davis, D.O.
Title
President
Phone
(360) 892-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OP00001463 WA Primary

Addresses

Primary practice location

11801 NE 65TH St
Suite a
Vancouver, WA 98662-5527

Mailing address

PO Box 820523
Vancouver, WA 98682-0011
Phone (360) 892-0208

National Provider Directory

National Provider Directory

Locations

11801 NE 65th St
Ste A
Vancouver, WA 98662
Phone (360) 558-5790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1124350814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820523",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820011",
            "telephone_number": "360-892-0208",
            "fax_number": "360-892-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 NE 65TH ST",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625527",
            "telephone_number": "360-892-0208",
            "fax_number": "360-892-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMME DAVIS, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAMME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-892-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "OP00001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.