Autumn Shoshana Davidson · Obstetrics & Gynecology Physician

3550 N Interstate Ave, Portland, OR 97227-1196

Overview

Autumn Shoshana Davidson is a Obstetrics & Gynecology Physician practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1588824833, which was assigned on June 11, 2008, and the registration record was last updated on May 6, 2025. The practitioner's main practice location is at 3550 N Interstate Ave, Portland, OR 97227-1196; the contact telephone number is 8008132000. The primary taxonomy of Autumn Shoshana Davidson is Obstetrics & Gynecology Physician (207V00000X). Autumn Shoshana Davidson is licensed to practice in the state of Oregon (#MD181131).

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Provider Information

NPI 1588824833
Entity Type Individual
Provider Name AUTUMN SHOSHANA DAVIDSON
Gender Female
Credential M.D.
Practice Address 3550 N Interstate Ave
Portland
OR 97227-1196
Practice Telephone 8008132000
Mailing Address 500 Ne Multnomah St Fl 11
Portland
OR 97232-2023
Mailing Telephone 8008132000
Certification Date 2025-05-06
Enumeration Date 2008-06-11
Last Update Date 2025-05-06
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5092951442
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name AUTUMN S DAVIDSON
Medical School WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Primary Specialty OBSTETRICS/GYNECOLOGY
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Address 10100 Se Sunnyside Rd
Clackamas
OR 97015-8970

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207V00000XObstetrics & GynecologyMD181131OR

Taxonomy Information

Primary Taxonomy

Code 207V00000X
Taxonomy Obstetrics & Gynecology Physician
Classification Obstetrics & Gynecology
Grouping Allopathic & Osteopathic Physicians
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Holly Bridges Moreau 8595 Picardy Ave Ste 320, Baton Rouge, LA 70809-3675Obstetrics & Gynecology Physician2025-10-21
Elite Womens Care LLC 3633 Sw 150th Ct, Miami, FL 33185-3995Obstetrics & Gynecology Physician2025-10-24
Greenhouse Wellness PLLC 18400 Katy Fwy Ste 530, Houston, TX 77094-1376Obstetrics & Gynecology Physician2025-11-05
Obeddoc PLLC 1030 River Oaks Dr, Flowood, MS 39232-9553Obstetrics & Gynecology Physician2025-10-30
Johns Hopkins University 10755 Falls Rd Ste 310, Lutherville, MD 21093-4522Obstetrics & Gynecology Physician2025-11-07
Elizabeth Jane Piipponen 775 1st Ave N, Naples, FL 34102-6090Obstetrics & Gynecology Physician2025-10-24
Shieva Ghofrany Md LLC 980 Post Rd, Darien, CT 06820-4509Obstetrics & Gynecology Physician2025-11-01
Victor Cantero Md Obgyn PLLC 1865 N Corporate Lakes Blvd Ste 2a, Weston, FL 33326-3273Obstetrics & Gynecology Physician2025-11-05
Johns Hopkins University 10753 Falls Rd Ste 115, Lutherville, MD 21093-4572Obstetrics & Gynecology Physician2025-11-07
Obstetrical and Gynecological Assoc of The University of Maryland Pa 5890 Waterloo Rd Ste 250, Columbia, MD 21045-2617Obstetrics & Gynecology Physician2025-10-23
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Location Information

Street Address 3550 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97227-1196
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sarah G Nixon Meyer · Sarah Meyer 3550 N Interstate Ave, Portland, OR 97227-1196Clinical Social Worker2011-01-27
Jesse Spencer Smith 3550 N Interstate Ave, Portland, OR 97227-1196Student in an Organized Health Care Education/Training Program2023-03-29
Jabre Anthony Millon 3550 N Interstate Ave, Portland, OR 97227-1196Diagnostic Radiology Physician2023-03-20
Anthony George Romero 3550 N Interstate Ave, Portland, OR 97227-1196Clinical Social Worker2017-01-10
Simone Louise Vanswam 3550 N Interstate Ave, Portland, OR 97227-1196Obstetrics & Gynecology Physician2007-03-29
Charles Douglas Lain 3550 N Interstate Ave, Portland, OR 97227-1196Rheumatology Physician2006-12-12
Kurt Hill 3550 N Interstate Ave, Portland, OR 97227-1196Family Medicine Physician2022-03-28
David John Beaty 3550 N Interstate Ave, Portland, OR 97227-1196Student in an Organized Health Care Education/Training Program2025-07-31
Madeleine Corrina Hinojos 3550 N Interstate Ave, Portland, OR 97227-1196Diagnostic Radiology Physician2023-03-27
Trisha Zander 3550 N Interstate Ave, Portland, OR 97227-1196Student in an Organized Health Care Education/Training Program2023-04-03
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Thomas Bodley Stibolt Jr. 3500 N Interstate Ave, Portland, OR 97227-1196Critical Care Medicine (Internal Medicine) Physician2006-08-18
Samuel Jeffrey Cohen-Tanugi 3500 N Interstate Ave, Portland, OR 97227-1196Orthopaedic Hand Surgery Physician2018-04-09
Nora Church 3500 N Interstate Ave, Portland, OR 97227-1196Case Manager/Care Coordinator2006-12-21
Ellen Louise Singer 3500 N Interstate Ave, Portland, OR 97227-1196Internal Medicine Physician2006-08-14
Jorge Raymon Walker Jr. 3500 N Interstate Ave, Portland, OR 97227-1196Diagnostic Radiology Physician2023-03-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Anuradha Devabhaktuni 300 N Graham St Ste 100, Portland, OR 97227Obstetrics & Gynecology Physician2013-03-27
Sandra Y Han 3600 N Interstate Ave, Portland, OR 97227-1106MOHS-Micrographic Surgery Physician2008-07-31
Ryan Cho 3600 N Interstate Ave, Portland, OR 97227-1106Physical Therapist2016-09-15
Natasha P Tobias-White 3620 N Interstate Ave, Portland, OR 97227-1106Critical Care Medicine Registered Nurse2021-06-04
Kathyleen M Tomlin 3325 N Interstate Ave, Portland, OR 97227-1020Addiction (Substance Use Disorder) Counselor2006-08-29
Bhavini Bhavsar 3600 N Interstate Ave, Portland, OR 97227-1106Endocrinology, Diabetes & Metabolism Physician2006-10-12
Sarah Fitzmaurice 3600 N Interstate Ave, Portland, OR 97227-1106Dermatology Physician2010-05-12
Ehsan Seyedhossini 3550 North Interstate Ave, Portland, OR 97227Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2008-01-10
Vinayak Muralidhar 3620 N Interstate Ave, Portland, OR 97227-1106Internal Medicine Physician2016-06-02
Daniel Carl Catalinotto 2800 N Vancouver Ave Ste 230, Portland, OR 97227Student in an Organized Health Care Education/Training Program2022-04-05
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.