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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKE STUART DAVIS, PTA

Active Sole Proprietor

MIKE STUART DAVIS, PTA is a Occupational Therapist healthcare provider located in PORTLAND, Oregon. NPI 1659578557 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PORTLAND, OR

Registration Details

NPI Number
1659578557
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2007 (19.083947478688 yrs)
Last Updated
Jul 8, 2007
Licenses
1353 (MT)
8463 (OR)
Sole Proprietor
Yes

Practice Information

Address
5415 SW WESTGATE DR STE L3
PORTLAND, OR, 972212409
Browse OR providers · Browse ZIP 97221
Phone
5032973003
Fax
5032979414
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in PORTLAND, OR

Name Credential NPI
MS. JANA LYNN PORT PTA 1013939511
DOROTHY M CHIDESTER PTA 1740388016
MISS BARBARA LEE TRENTADUE LPTA 1194812800
AMY GRANT 1366526048
MRS. MONIQUE LYNN HAWKS LPTA 1386770154
ANN-MARIE B CORDOVA PTA 1225257678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.