Davera Corporation
NPI 1760946321ActiveOrganization· Nurse Practitioner, Family· Grants Pass, OR
Nurse Practitioner, Family in Grants Pass, Oregon, registered in NPPES in January 2019. The authorized official on file is David Ray, DC, FNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760946321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2019 |
| Last updated in NPPES | Mar 11, 2020 |
| Certified by provider | Mar 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Massage Therapist | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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