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BENJAMIN MICHAEL DAVIDSON
NPI 1073345856
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 19, 2024
3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Michael Davidson NPPES

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

BENJAMIN MICHAEL DAVIDSON (NPI 1073345856) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1073345856
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN MICHAEL DAVIDSON
Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 283-3763
Sole ProprietorNo
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1073345856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3036 NE MLK JR BLVD, Portland, OR 97212
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Other Names 1

Other Name (5)Ben Davidson

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.

ASHLEY BARDALES
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
JENIFER PREVOST
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ANNDREA GLADYS VAUGHN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
JESSICA SHIRLEY CUSHMAN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. JUNIPER ELIZABETH WAGNER
Counselor (Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MADELEINE ROSE POTTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
PHILIP JOHN MAGGI
Counselor (Addiction (Substance Use Disorder))
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
JEFFREY SCOTT DODGE
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500

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 Benjamin Davidson's NPI number?

The NPI number for Benjamin Davidson is 1073345856. It was assigned to this individual provider in the NPPES registry on August 19, 2024. The provider is also known as Ben Davidson.

Where is Benjamin Davidson located?

Benjamin Davidson practices at 3036 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 283-3763.

What is Benjamin Davidson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Benjamin Davidson was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.