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

Roxanne Davis

Individual provider Mental Health Counselor · NPI 1821441130

Roxanne Davis is a Mental Health Counselor in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Optum Behavioral Care of Colorado PC, a 197-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4941 NE 17th Ave
Portland, OR 97211-5709
Phone: (503) 645-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6119 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1821441130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address14600 Nw Cornell Rd, Portland, OR 97229-5442

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optum Behavioral Care Of Colorado Pc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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