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Deactivated NPI 1124140348 Deactivated / Inactive NPI Male Practitioner

Donovan D Davisson

Hearing Instrument Specialist • Newberg, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Donovan Davisson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 06, 2007
NPI Deactivation Date December 03, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Donovan Davisson was a registered Hearing Instrument Specialist practicing in Newberg, OR. Throughout an active medical career spanning 12 years, Donovan Davisson provided care at the practice location at 1014 N SPRINGBROOK RD until profile deactivation on 2019-12-03.

Practice Location & Contact Primary Location

Practice Address

1014 N Springbrook Rd

Newberg, OR 971322024

Telephone 5039971700

Specialty Benchmarks & Practice Insights

Comparative analytics for Hearing Instrument Specialist in Newberg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Newberg, OR (218 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Hearing Instrument Specialist Primary Specialty

NUCC Taxonomy Code: 237700000X

State License OR HAS-P-10136694

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 03, 2019

Record deactivated on December 03, 2019

NPI Profile Active April 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2015

Registered at 1014 N SPRINGBROOK RD, NEWBERG, OR 971322024 (Tel: 5039971700)

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Updated Business Mailing Address April 06, 2015

Registered at 1014 N SPRINGBROOK RD, NEWBERG, OR 971322024 (Tel: 5039971700)

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Provider Name / Credentials Updated April 06, 2015

Recorded as DONOVAN DAVISSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2015

Hearing Instrument Specialist (License #HAS-P-10136694 in OR)

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Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124140348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: April 06, 2015
Deactivation Date: December 03, 2019

Mailing Address

1014 N Springbrook Rd

Newberg, OR 971322024

Phone: 5039971700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.