Karen Davis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

08-03-44 Issued in OR

Practice address

182 SW Academy St
Dallas, OR 97338-1996

Phone

(503) 623-9289

Fax

(503) 831-1726

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Karen Bliven Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2016.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1487014221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-831-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-831-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "08-03-44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BLIVEN",
            "credential": "CADC II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Roth Darling, MS
• Darrington Physical Therapy LLC
• Amanda Rose David
• Jessica Lynn Davidson
• George Ryan Davis, D.M.D.
• Mark Lynn Davis, CADC I
• Thomas L Davis Jr., D.M.D.
• Kristoffer De Leon
• Deborah R Saxby
• Ruth Cecelia Demaio, RN

• All providers in Dallas, OR
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.