Healthcare Provider Details

I. General information

NPI: 1356324842
Provider Name (Legal Business Name): BARRY N. DAVIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16144 SE HAPPY VALLEY TOWN CENTER DR STE 101
HAPPY VALLEY OR
97086-4257
US

IV. Provider business mailing address

PO BOX 22075
MILWAUKIE OR
97269-2075
US

V. Phone/Fax

Practice location:
  • Phone: 503-659-4988
  • Fax: 833-428-1891
Mailing address:
  • Phone: 503-659-4988
  • Fax: 833-428-1891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO18093
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: