Individual provider · Type 1 NPI

Dustin James Davis, QMHA, CPT

Licensed Psychiatric Technician · Hillsboro, OR

NPI number 1114572831 Active

Practice location

4660 NE Belknap Ct Ste 101H
Hillsboro, OR 97124-8403

Fax (855) 240-3947

Mailing address

2034 Columbia Blvd # 507
St. Helens, OR 97051-1737

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Licensed Psychiatric Technician Primary 167G00000XNone listed

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

About NPI 1114572831

Dustin James Davis, QMHA, CPT's National Provider Identifier is 1114572831, issued on Aug 8, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Hillsboro, OR. The record was last updated on Aug 8, 2019.