Individual provider · Type 1 NPI
Robert Davis, PA-C
Medical Physician Assistant · Vale, OR
NPI number
1457352486
Active
Practice location
789 Washington West
Vale, OR 97918
Fax (541) 473-2668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00345 (OR) |
Medical Physician Assistant: Definition to come...
About NPI 1457352486
Robert Davis, PA-C's National Provider Identifier is 1457352486, issued on Aug 1, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vale, OR. The record was last updated on Mar 15, 2010.