GREGORY J DAVENPORT PA-C
NPI 1972542009
Physician Assistant in Portland, OR

Active since June 05, 2006
3500 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6101 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory J Davenport Pa-c NPPES

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

GREGORY J DAVENPORT PA-C (NPI 1972542009) is an individual physician assistant in Portland, Oregon, licensed in Washington (PA10003132) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1972542009
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY J DAVENPORTCredential: PA-C
Location Address3500 N INTERSTATE AVEPortland, OR 97227-1196
Mailing Address3500 N Interstate AvePortland, OR 97227-1196
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 23, 2007
NPI 1972542009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003132
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3500 N INTERSTATE AVE, Portland, OR 97227

Other Identifiers 3

Medicare UPINP27942WA
Medicare ID-Type Unspecified8855549WA
Medicaid8357766WA

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.

Internal Medicine (Gastroenterology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Family Medicine
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Adult Health)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Family Medicine
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Adult Health)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227

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 Gregory Davenport's NPI number?

The NPI number for Gregory Davenport is 1972542009. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Gregory Davenport located?

Gregory Davenport practices at 3500 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-6101.

What is Gregory Davenport's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gregory Davenport was last updated on July 23, 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.