IndividualActive
Koryssa Davis, THW
NPI 1659153906 · Community Health Worker · Roseburg, OR
Koryssa Davis, THW is a Community Health Worker provider in Roseburg, OR (NPI 1659153906).
Provider details
- NPI number
- 1659153906
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- THW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 109909 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone: (541) 672-9596
Approximate (ZIP-level) locationGet directions
Mailing address
150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Frequently asked questions
- What is Koryssa Davis's NPI number?
- Koryssa Davis's National Provider Identifier (NPI) is 1659153906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koryssa Davis's specialty?
- Koryssa Davis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Koryssa Davis located?
- Koryssa Davis's practice location on file with NPPES is 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042.
- What is Koryssa Davis's phone number?
- The practice phone number listed in the NPPES registry for Koryssa Davis is (541) 672-9596.
- Is Koryssa Davis's NPI active?
- Yes — Koryssa Davis's NPI (1659153906) is active in the NPPES registry as of the last update on 2023-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.