Cathy Ann Davenport, L.M.T.
Specialist in Salem, OR. Individual provider (NPI-1).
NPI number1578822706
StatusActive
Last updated in NPPESMay 8, 2012
Details
- NPI
- 1578822706
- Entity type
- Individual (NPI-1)
- Name
- Cathy Ann Davenport
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2012
- Last updated
- May 8, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 11758 | OR | Yes |
Other names
- Cathy Ann Jordan (Professional Name)
Practice location
1295 Wallace Rd NwSalem, OR 97304-3007
Phone 503-763-6444
Mailing address
Po Box 1212McMinnville, OR 97128-1212
Phone 971-237-2986
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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