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

Jonathan Acob Davenport, MD

Individual provider Family Medicine Physician · NPI 1063730570

Jonathan Acob Davenport, MD is a Family Practice in Zillah, Washington. Graduated from University of Washington School of Medicine in 2010, 16 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2010
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

616 Railroad Ave Ste 1&2
Zillah, WA 98953
Phone: (509) 972-1190
Fax: (509) 249-4458
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60297882 (WA)

Record details

NPI number1063730570
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2010
Last updated in NPPESApril 10, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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