MR. KEN DAVIS BSW, CDP
NPI 1013436138
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since September 11, 2017
2009 NE 117TH ST, VANCOUVER, WA 98686(360) 566-9112(360) 566-9133 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ken Davis Bsw, Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEN DAVIS BSW, CDP (NPI 1013436138) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP60382527) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1013436138
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEN DAVISCredential: BSW, CDP
Location Address2009 NE 117TH STVancouver, WA 98686-4022
Mailing Address7571 Virginia LnVancouver, WA 98664-2168 · (360) 601-4120
Fax(360) 566-9133
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
NPI 1013436138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60382527
2009 NE 117TH ST, Vancouver, WA 98686

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
2009 NE 117TH ST
VANCOUVER, WA 98686
Clinic/Center (Methadone)
2009 NE 117TH ST, SUITE 101
VANCOUVER, WA 98686
Licensed Practical Nurse
2009 NE 117TH ST
VANCOUVER, WA 98686
Licensed Practical Nurse
2009 NE 117TH ST
VANCOUVER, WA 98686
Licensed Practical Nurse
2009 NE 117TH ST
VANCOUVER, WA 98686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Davis's NPI number?

The NPI number for Ken Davis is 1013436138. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Ken Davis located?

Ken Davis practices at 2009 NE 117th St, Vancouver, WA 98686. The listed phone number is (360) 566-9112.

What is Ken Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ken Davis was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.