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

Dr. Russell Davidson, MD

Individual provider Emergency Medicine Physician · NPI 1407143373

Dr. Russell Davidson, MD is an Emergency Medicine in Portland, Oregon. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Texas.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
OR, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10123 SE Market St
Portland, OR 97216-2532
Phone: (503) 257-2500
Show map & directions

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

Additional practice locations (1)

  • 1801 N Oregon St, El Paso, TX 79902-3524 — (915) 521-1266

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence Q5788 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD187183 (OR)

Record details

NPI number1407143373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2011
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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