NPI 1629878855 · live from the CMS NPI Registry
Maya Isabel Davis
Dermatology in Portland, OR. National Provider Identifier 1629878855, active.
NPI record
| NPI | 1629878855 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3303 S Bond Ave, Portland, OR 97239 |
| Practice phone | 503-494-8311 |
| Mailing address | 5951 E Mayo Blvd, Mayo Clinic Ierb Building, Phoenix, AZ 85054 |
| Enumerated | March 17, 2025 |
| Last updated | July 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | pg230215 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.