Daniel Wade Davis, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

MD28151 Issued in OR

Practice address

13309 SE 84TH Ave Ste 100
Clackamas, OR 97015-6922

Phone

(971) 673-8200

NPI assigned

Jul 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ddavi259@yourcarecommunity.org

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1972858033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SUNTREK DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974033251",
            "telephone_number": "541-915-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13309 SE 84TH AVE STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156922",
            "telephone_number": "971-673-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIEL",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "OR",
            "license": "MD28151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Dafcik
• Robert Tyler Darnell, M.D.
• David Rheaume, DC.PC
• David W. Compton, DMD, Ms, PC
• Jill Davies
• Dustin Michael Davis, D.D.S.
• Karley Davis, LMT
• Lisa Charlene Davis
• Lynn Carol Davis, CRNA
• Patrick Davis

• Forensic Pathology Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Forensic Pathology Physician in Oregon

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