Robert O Davis
Prevention Professional β’ Pendleton, OR
46314 Timine Way
Pendleton, OR 97801
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
46314 Timine Way
Pendleton, OR 97801
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Keizer, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Prevention Professional: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Pendleton and Oregon
13 active clinicians are listed under Prevention Professional with a practice address in Pendleton, OR (24 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pendleton
0% of these 13 clinicians have the CMS telehealth indicator.
0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-07-11NUCC Taxonomy Code: 405300000X
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
NUCC Taxonomy Code: 101YA0400X
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
1184 Mcgee Ct Ne
Keizer, OR 973039443
Phone: 5033044358
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
ARNPFNPBC
Physician Assistant - Medical
Physician Assistant (Certified)
Optometrist
Doctor of Optometry
Social Worker
Licensed Clinical Social Worker
Dentist - General Practice
Doctor of Dental Surgery
Podiatrist - Primary Podiatric Medicine
Doctor of Podiatric Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as ROBERT DAVIS
Registered at 46314 TIMINE WAY, PENDLETON, OR 97801 (Tel: 5419669830)
Registered at PO BOX 160, PENDLETON, OR 97801 (Tel: 5419669830)
NPI status registered as active in NPPES database
Registered at 465 COMMERCIAL ST NE # 150, SALEM, OR 973013414 (Tel: 5033622780)
Registered at PO BOX 20674, KEIZER, OR 973070674
Recorded as OWEN DAVIS
Counselor (license number reported to NPPES: OR T-17-405)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 160
Pendleton, OR 97801
Phone: 5419669830