Provider Demographics
NPI:1063587384
Name:CAWTHON, DAVID FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:FRANKLIN
Last Name:CAWTHON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SW 5TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7545 SE TUALATIN VALLEY HWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8252
Practice Address - Country:US
Practice Address - Phone:503-681-0816
Practice Address - Fax:503-681-1358
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000241672084N0400X
IN01075561A2084N0400X
MO20210082712084N0400X
WI59863-202084N0400X
ORMD1596932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1087147Medicaid
WA0063765OtherL & I
WA217000022Medicare ID - Type Unspecified
A06317Medicare UPIN