Cheryl Dene Davidson, CRNFA FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650017NP Issued in OR

Practice address

18341 SE Caleb LN
Damascus, OR 97009-9619

Phone

(503) 667-4873

Fax

(503) 667-6782

NPI assigned

Nov 3, 2006

Last updated

Oct 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1205915816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 SE CALEB LN",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970896019",
            "telephone_number": "503-667-4873",
            "fax_number": "503-667-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 SE CALEB LN",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970099619",
            "telephone_number": "503-667-4873",
            "fax_number": "503-667-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CHERYL",
        "middle_name": "DENE",
        "credential": "CRNFA FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650017NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Hayden Chinn, DMD
• Karli Clark, LMT
• Community Pediatric Therapy LLC
• Kenneth Cox
• Damascus Family Dental LLC
• Ryan Davis
• Beverly Ann De la Bruere
• Jessi Nicole Dixon Veras, RN BSN
• Thomas Dale Dutcher, D.C.
• Endeavor Physical Therapy, Inc.

• Family Nurse Practitioner in Damascus, OR
• Providers in Damascus, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.