Provider Demographics
NPI:1306719083
Name:DAVIS, CURT (CDAC/CAS)
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:CDAC/CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 SW 3RD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2532
Mailing Address - Country:US
Mailing Address - Phone:612-328-4815
Mailing Address - Fax:
Practice Address - Street 1:519 SW 3RD AVE STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2532
Practice Address - Country:US
Practice Address - Phone:612-328-4819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC061510620101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty