Cathy Ann Davenport, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11758 Issued in OR

Practice address

1295 Wallace Rd NW
Salem, OR 97304-3007

Phone

(503) 763-6444

NPI assigned

May 8, 2012

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

Other names 1

• Cathy Ann Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1578822706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1212",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971281212",
            "telephone_number": "971-237-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043007",
            "telephone_number": "503-763-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "11758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "JORDAN",
            "middle_name": "ANN",
            "credential": "L.M.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather M Daugherty
• George Fred Daum, D.M.D.
• Lucy Eileen Daumen, QMHP
• Daniela S Davalos
• Ryan W. Daven, MSW, CADC II, LCSW
• Katherine Mariah Davenport, PSY.D.
• David M Freed PHD PC
• David M. Ross, DMD
• David Willis DMD, LLC
• Christopher Allen David

• Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Specialist in Oregon

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