Davenport Development Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DAVENPORT DEVELOPMENT SERVICES LLC

Practice address

555 SE Martin Luther King Blvd
Portland, OR 97214-2120

Phone

(503) 705-8900

NPI assigned

Jul 16, 2024

Organization subpart

No

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

Authorized official

Name

Billy Ray Davenport

Title

Owner

Phone

(503) 705-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1669210464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SE MARTIN LUTHER KING BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142120",
            "telephone_number": "503-705-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SE MARTIN LUTHER KING BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142120",
            "telephone_number": "503-705-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT DEVELOPMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-705-8900"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Dauphinais, CRNA
• Hayley Dauterman
• Amber Bernice Davar
• Dave 24HR Residential LLC
• Sonal B. Dave, M.D.
• Kimberli Kevin Davenport-Holladay, MS CCCA
• Anna Davenport
• Dori Christine Davenport, R.D.H.
• Gregory J Davenport, PA-C
• Jean Davenport

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.