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

Mitchell Davis, PA

Individual provider Physician Assistant · NPI 1023721883

Mitchell Davis, PA is a Physician Assistant in Bend, Oregon. Qualified in 2022, 4 years ago. Practices with St Charles Health System Inc, a 383-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 382-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023721883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 26, 2022
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing addressPo Box 6095, Bend, OR 97708-6095

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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