DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. DAVID CARL STEVENS PMHNP

MEDICARE: MR. DAVID CARL STEVENS PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse201041299RNOR
2363L00000XNurse PractitionerAP61337481WA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner202111950NP-PPOR
4163W00000XRegistered NurseRN61146170WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255095550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID CARL STEVENS PMHNP
Provider Business Mailing Address
First Line : 211 SE CARUTHERS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4502
Country : US
Telephone Number : 503-224-1044
Fax Number : 971-260-0355
Provider Business Practice Location Address
First Line : 12360 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97233-1042
Country : US
Telephone Number : 971-279-4800
Fax Number : 971-279-2051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2021
Last Update Date : 12/12/2025

Similar Medicare Providers

1508856188 — ARTICE E GEARY LCSW
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2051
1407847973 — LINDA LOUISE CADC II
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2051
1457314353 — SHINTA IMANSJAH PHARM D/RPH
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2763
1730146465 — GLENDA M WATSON-COLY RN
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2051
1437164951 — DR. MARGARET MARY HAYES MD
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2051
1932205556 — DR. ANONG YORD BURKE MD
Practice Location Address:
12360 E BURNSIDE ST
PORTLAND, OR
97233-1042
Practice Phone: 971-279-4800
Practice Fax: 971-279-2051

Directions to “ MR. DAVID CARL STEVENS PMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.