Individual
ADRIAN RAWSON DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1111 NE 99TH AVE, SUITE 301, PORTLAND, OR 97220-9428
(503) 963-2707
(503) 963-2802
Mailing address
1111 NE 99TH AVE STE 301, PORTLAND, OR 97220-9442
(503) 963-2707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250057NP
OR
363LF0000X
Family Nurse Practitioner
5014280
NC
363LF0000X
Family Nurse Practitioner
620806
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770812117
—
WA
05
—
500657127
—
OR
Enumeration date
12/14/2009
Last updated
02/22/2023
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