Davenport Mental Health, LLC
Organization Active NPI Clinical Psychologist · Stayton, OR
NPI 1235901679 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1235901679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- DAVENPORT MENTAL HEALTH, LLC
- Practice address
- 615 N 1St Ave
Stayton, OR 97383-1704 - Phone
- (503) 877-4574
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Katherine Davenport, PSYD
- Title
- Owner
- Phone
- (503) 877-4574
Practitioners 2
-
Katherine Mariah Davenport, PSY.D.
-
Hammaad Alvi, M.D.
National Provider Directory
Locations
615 N 1st Ave
Stayton, OR 97383
Phone (503) 877-4574
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
615 N 1St Ave
Stayton, OR 97383-1704
Mailing address
910 N 8TH St
Aumsville, OR 97325-8917
Other names
- PNW Mental Health
Other providers in Stayton, OR
- Joanna L Crawford
- Sheila Marie Crispin
- Josephine Crocker
- Kim Dang
- Daren L. Goin, DMD, PC
- Richard Wolfgang Davenport
- Spencer J De Los Reyes
- Fatima Janeth Dealy
- George M Degner
- Guesly Dessieux
All providers in Stayton, OR · Clinical Psychologist 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 30, 2023. 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.