Douglass, Kristen Marie

Douglass, Kristen Marie is an sole proprietor health care provider with primary practice located at 8645 Se Sunnybrook Blvd Ste Unit200 , Clackamas OR 97015-6841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Douglass, Kristen Marie can be contacted via phone (503) 659-1694.

Contact Information

Primary practice address
8645 Se Sunnybrook Blvd Ste Unit200 Clackamas OR 97015-6841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD203546 Oregon

Profile Details

NPI number 1780352054
LBN Legal business name Douglass, Kristen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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