Individual provider · Type 1 NPI

Hasani Leonard Davenport

Student in an Organized Health Care Education/Training Program · Redmond, OR

NPI number 1649129123 Active

Practice location

852 SW 15th St
Redmond, OR 97756-2507

Call (541) 848-0879 Map

Mailing address

61365 Steens Mountain Loop
Bend, OR 97702-2865

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649129123

Hasani Leonard Davenport's National Provider Identifier is 1649129123, issued on Jan 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redmond, OR. The record was last updated on Jan 27, 2026.