IndividualActive
Brian Davis, MS, ATC
NPI 1558863019 · Athletic Trainer · Portland, OR
Provider details
- NPI number
- 1558863019
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT-AT-10154554 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
930 Sw Hall St.
Portland, OR 97201-9720
Phone: (503) 725-4073
Street-level locationGet directions
Mailing address
6636 Sw Virginia Ave
Portland, OR 97239-3506
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2018-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.