Provider Demographics
NPI:1538034608
Name:DAVIS, MELODIE REBEKKA
Entity type:Individual
Prefix:
First Name:MELODIE
Middle Name:REBEKKA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 W SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-1683
Mailing Address - Country:US
Mailing Address - Phone:541-399-7888
Mailing Address - Fax:
Practice Address - Street 1:2034 W SCENIC DR
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1683
Practice Address - Country:US
Practice Address - Phone:541-399-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula