ROBERT R. DAVIDSON M.DIV., M.ED., LMFT
NPI 1326139965
Marriage & Family Therapist in Forest Grove, OR

Q: What is Robert Davidson's NPI number?

The NPI number for Robert Davidson is 1326139965. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Robert Davidson's specialty?

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

Q: Is Robert Davidson enrolled in Medicare?

No. Robert Davidson has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Robert Davidson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 27, 2006Opted out of Medicare · through Jan 11, 2028

4110 PACIFIC AVE, SUITE 202, FOREST GROVE, OR 97116(503) 357-9548(503) 357-1158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert R. Davidson M.div., M.ed., Lmft NPPES

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

ROBERT R. DAVIDSON M.DIV., M.ED., LMFT (NPI 1326139965) is an individual marriage & family therapist in Forest Grove, Oregon, licensed in Oregon (T0095) and active in the NPI registry since September 2006. He has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1326139965

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameROBERT R. DAVIDSONCredential: M.DIV., M.ED., LMFT

Location Address4110 PACIFIC AVE, SUITE 202Forest Grove, OR 97116-2266

Mailing Address45535 Nw Levi White RdBanks, OR 97106-7434 · (503) 324-4124

Phone(503) 357-9548

Fax(503) 357-1158

Sole ProprietorYes

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326139965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OR · T0095

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.

4110 PACIFIC AVE, Forest Grove, OR 97116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Robert R. Davidson M.div., M.ed., Lmft 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 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024

Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

WENDY GALAMBOS LPC

Counselor (Professional)

4110 PACIFIC AVE, SUITE 202
FOREST GROVE, OR 97116

Washington County (503) 357-9548

FAMILY INSTITUTE, P.C.

Counselor (Mental Health)

4110 PACIFIC AVE, SUITE 202
FOREST GROVE, OR 97116

Washington County (503) 357-9548

JOHN CARL CRIPPEN LMFT

Marriage & Family Therapist

4110 PACIFIC AVE, SUITE 102
FOREST GROVE, OR 97116

Washington County (503) 601-5400

MS. BROOKE MILLER MSW

Social Worker (Clinical)

4110 PACIFIC AVE, SUITE 102
FOREST GROVE, OR 97116

Washington County (503) 601-5400

MS. PEGGY S CASEBEER PMHNP

Registered Nurse (Psychiatric/Mental Health)

4110 PACIFIC AVE, STE.202
FOREST GROVE, OR 97116

Washington County (503) 357-9548

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 Robert Davidson's NPI number?

The NPI number for Robert Davidson is 1326139965. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Robert Davidson located?

Robert Davidson practices at 4110 Pacific Ave Suite 202, Forest Grove, OR 97116. The listed phone number is (503) 357-9548.

What is Robert Davidson's specialty?

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

Is Robert Davidson enrolled in Medicare?

No. Robert Davidson has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Robert Davidson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.