Richard Carl Davies, DO – Family Medicine Physician

Key facts

NPI: 1376540799
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: DO10013 (OR)
Practice address: 345 N Grant St
Canby, OR 97013-3610
Phone: (503) 266-2066
Fax: (503) 263-8719
NPI assigned: Jun 30, 2005
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Oregon Healthcare Resources, LLC Multi-Specialty Clinic/Center · Eugene, OR · NPI 1982907572

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
10013	OR	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Oregon Healthcare Resources, LLC		Current	Accepting new patients

Locations

345 N Grant St
Canby, OR 97013
Phone (503) 266-2066

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	DO10013	OR	Yes

Addresses

Primary practice location

345 N Grant St
Canby, OR 97013-3610

Mailing address

12303 S Casto Rd
Oregon City, OR 97045-9550
Phone (503) 266-2066

Other providers in Canby, OR

All providers in Canby, OR · Family Medicine Physician in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. 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.

Verify at the official NPI Registry.