Mr Ken Davis, BSW, CDP is a
Health & Wellness Coach based in Saint Helens, Oregon. Mr Ken Davis is licensed to practice in Oregon (license number 26-QMHA-R-8814) and his current practice location is
58646 Mcnulty Way, Saint Helens, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 397-5211.
NPI number for Mr Ken Davis is 1013436138 and his current mailing address is 58646 Mcnulty Way, Saint Helens, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013436138.
Healthcare Provider's Profile
| Full Name | Mr Ken Davis |
|---|
| Gender | Male |
|---|
| Speciality | Health & Wellness Coach |
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| Location | 58646 Mcnulty Way, Saint Helens, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013436138
- Provider Enumeration Date: 09/11/2017
- Last Update Date: 09/10/2026
Medical Identifiers
Medical identifiers for Mr Ken Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013436138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60382527 (Washington) | Secondary |
| 171400000X | Health & Wellness Coach | 26-QMHA-R-8814 (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | CAAL.CU.61647542 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ken Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Ken Davis, BSW, CDP 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (503) 397-5211 | Mr Ken Davis, BSW, CDP 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (503) 397-5211 |
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