Cheryl Dene Davidson, CRNFA FNP-C
Individual provider Active NPI Family Nurse Practitioner · Damascus, OR
NPI 1205915816 · NPPES record last updated Oct 8, 2012
Key facts
- NPI
- 1205915816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200650017NP (OR)
- Practice address
- 18341 SE Caleb LN
Damascus, OR 97009-9619 - Phone
- (503) 667-4873
- Fax
- (503) 667-6782
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200650017NP | OR | Yes |
Addresses
Primary practice location
18341 SE Caleb LN
Damascus, OR 97009-9619
Mailing address
18341 SE Caleb LN
Damascus, OR 97089-6019
Phone (503) 667-4873
Other providers in Damascus, OR
- Elliott Hayden Chinn
- Karli Clark
- Community Pediatric Therapy LLC
- Kenneth Cox
- Damascus Family Dental LLC
- Ryan Davis
- Beverly Ann De la Bruere
- Jessi Nicole Dixon Veras
- Thomas Dale Dutcher
- Endeavor Physical Therapy, Inc.
All providers in Damascus, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.