BLAKE ANTHONY DAVIDSON
NPI 1295678316
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since April 13, 2026
1839 NE GLISAN ST, PORTLAND, OR 97232(503) 963-7676 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Anthony Davidson NPPES

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

BLAKE ANTHONY DAVIDSON (NPI 1295678316) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1295678316
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBLAKE ANTHONY DAVIDSON
Location Address1839 NE GLISAN STPortland, OR 97232-2844
Mailing AddressPo Box 8459Portland, OR 97207-8459
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
NPI 1295678316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1839 NE GLISAN ST, Portland, OR 97232

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
1839 NE GLISAN ST
PORTLAND, OR 97232
Student in an Organized Health Care Education/Training Program
1839 NE GLISAN ST
PORTLAND, OR 97232
Peer Specialist
1839 NE GLISAN ST
PORTLAND, OR 97232
Social Worker
1839 NE GLISAN ST
PORTLAND, OR 97232
Registered Nurse
1839 NE GLISAN ST
PORTLAND, OR 97232
Counselor (Mental Health)
1839 NE GLISAN ST
PORTLAND, OR 97232
Counselor (Mental Health)
1839 NE GLISAN ST
PORTLAND, OR 97232
Social Worker (Clinical)
1839 NE GLISAN ST
PORTLAND, OR 97232

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 Blake Davidson's NPI number?

The NPI number for Blake Davidson is 1295678316. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Blake Davidson located?

Blake Davidson practices at 1839 NE Glisan St, Portland, OR 97232. The listed phone number is (503) 963-7676.

What is Blake Davidson'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 Blake Davidson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.