Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chrystal L Davis, DA

Individual provider Dental Assistant · NPI 1467955195

Chrystal L Davis, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018

Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 115363 (OR)

Record details

NPI number1467955195
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address1776 Sw Madison St, Portland, OR 97205-1715

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