Active NPI
Sidney Davis
- Community Health Registered Nurse
- Portland, OR
National Provider Identifier
1164366233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 25451446
- Practice address
- 229 NE 167TH PL
Portland, OR 97230-6203 - Phone
- (616) 824-6044
- NPI assigned
- Apr 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 25451446 | OR | Primary |
Addresses
Primary practice location
229 NE 167TH PL
Portland, OR 97230-6203
Mailing address
229 NE 167TH PL
Portland, OR 97230-6203
Phone (616) 824-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25451446 | OR | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1164366233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 NE 167TH PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306203",
"telephone_number": "616-824-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 NE 167TH PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306203",
"telephone_number": "616-824-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SIDNEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "25451446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.