MELVIN CORNELIUS DAVIDSON
NPI 1740066851
Counselor - Mental Health in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 05, 2023

1035 N KEENE WAY DR, MEDFORD, OR 97504(541) 500-8814(541) 500-8813 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melvin Cornelius Davidson NPPES

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

MELVIN CORNELIUS DAVIDSON (NPI 1740066851) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1740066851

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMELVIN CORNELIUS DAVIDSON

Location Address1035 N KEENE WAY DRMedford, OR 97504-6253

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Phone(541) 500-8814

Fax(541) 500-8813

Sole ProprietorNo

Enumeration DateSeptember 5, 2023

NPPES CertifiedSeptember 5, 2023

✔ NPI 1740066851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1035 N KEENE WAY DR, Medford, OR 97504

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Other Providers at the Same Location NPPES 17

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

KYNDRA MADDOX-BUSTER

Counselor (Mental Health)