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

Mark C Davis, PA

Individual provider Surgical Physician Assistant · NPI 1508928714

Mark C Davis, PA is a Physician Assistant in Lake Oswego, Oregon. Qualified in 2004, 22 years ago. Practices with Clear Choice Dermatology, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

123 C Ave
Lake Oswego, OR 97034-2353
Phone: (503) 905-9006
Fax: (503) 238-0841
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 — (503) 238-1061

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01047 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01047 (OR)

Record details

NPI number1508928714
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address123 C Ave, Lake Oswego, OR 97034-2353

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Clear Choice Dermatology — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego