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

Jacquelle C Davis

Individual provider Peer Specialist · NPI 1144817586

Jacquelle C Davis is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone: (503) 645-3581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1144817586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020
Mailing address14600 Nw Cornell Rd, Portland, OR 97229-5442

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