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Robert Davis — NPI 1922679240, Pendleton, OR | NPI Central

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NPI 1922679240

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Robert Davis

NPI 1922679240 · Prevention Professional · Pendleton, OR

Provider details

NPI number: 1922679240
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Sex: Male
Sole proprietor: No
License: T-17-405 (OR)

Specialties & taxonomies

Prevention ProfessionalPrimary405300000XLicense 21-CRM-569 (OR)
Other Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400XLicense T-17-405 (OR)
Behavioral Health & Social Service Providers

Practice location

46314 Timine Way

Pendleton, OR 97801

Phone: (541) 966-9830

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 160

Pendleton, OR 97801

Additional practice locations (1)

1184 Mcgee Ct Ne
Keizer, OR 97303-9443
Phone: (503) 304-4358

Registry dates

Enumerated: 2021-07-07
Last updated: 2023-07-11
Certified: 2023-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.