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NATHAN DAVIS LICENSED MARRIAGE &
NPI 1063960250
Marriage & Family Therapist in Portland, OR

Active since September 15, 2016Opted out of Medicare · through Jan 1, 2028
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202(971) 777-8929 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 1, 2024, Aug 11, 2023, Feb 28, 2018 and 1 more (4 updates tracked since 2016).

About Nathan Davis Licensed Marriage & NPPES

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

NATHAN DAVIS LICENSED MARRIAGE & (NPI 1063960250) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T2213) and active in the NPI registry since September 2016. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063960250
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameNATHAN DAVISCredential: LICENSED MARRIAGE &
Location Address205 SE SPOKANE ST STE 300Portland, OR 97202-6487
Mailing Address205 Se Spokane St Ste 300Portland, OR 97202-6487 · (971) 777-8929
Phone(971) 777-8929
Sole ProprietorYes
Enumeration DateSeptember 15, 2016
Last NPPES UpdateJanuary 1, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1063960250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in OR · T2213✔ Licensed in CA · 77588✔ Licensed in CA · 104774
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
205 SE SPOKANE ST STE 300, Portland, OR 97202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nathan Davis Licensed Marriage & has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

HEIDI STACHELRODT LMT
Massage Therapist
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (503) 866-9271
CULTIVATING A NEW LIFE LLC
Social Worker (Clinical)
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (541) 904-0468
MOONLIGHT THERAPIES LLC
Massage Therapist
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (971) 772-8322
DR. MAYA M WILLIAMS PHD
Psychologist (Counseling)
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (503) 877-0711
FUMIYO NISHIMOTO LCSW
Social Worker (Clinical)
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (541) 904-0468
DR. JULIA ANN WONG-NGAN PH.D.
Clinical Neuropsychologist
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (503) 242-0490
KAYLEE SHIELDS BCBA
Behavior Analyst
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (503) 473-1876
ALLISON RENEE ROTT PAC
Physician Assistant
205 SE SPOKANE ST STE 300
PORTLAND, OR 97202
Multnomah County (303) 929-8993

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 Nathan Davis's NPI number?

The NPI number for Nathan Davis is 1063960250. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Nathan Davis located?

Nathan Davis practices at 205 SE Spokane St Ste 300, Portland, OR 97202. The listed phone number is (971) 777-8929.

What is Nathan Davis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nathan Davis enrolled in Medicare?

No. Nathan Davis has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nathan Davis accept?

Health plans from Providence Health Plan list Nathan Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Davis was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.