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

Gracen Conway Davis, MD

Individual provider Pediatrics Physician · NPI 1538628516

Gracen Conway Davis, MD is a Pediatric Medicine in Portland, Oregon. Graduated from University of Oklahoma College of Medicine in 2019, 7 years ago. Works from 3 locations. Licensed in North Carolina and Oregon.

Years since qualifying
7
Trained at
University of Oklahoma College of Medicine
Licensed in
NC, OR
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-2042
Show map & directions

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

Additional practice locations (2)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-8840
  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-3664

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD224146 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence 2022-02187 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 2022-02187 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2022-02187 (NC)

Record details

NPI number1538628516
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 4399, Portland, OR 97208-4399

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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