Fernando, Emily Grace Douglass

Fernando, Emily Grace Douglass is an individual health care provider with primary practice located at 830 Ne 47Th Ave , Portland OR 97213-2212. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Fernando, Emily Grace Douglass can be contacted via phone (503) 216-2339.

Contact Information

Primary practice address
830 Ne 47Th Ave Portland OR 97213-2212
Phone: (503) 216-2339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 10000858 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 10000858 Oregon

Profile Details

NPI number 1982304630
LBN Legal business name Fernando, Emily Grace Douglass
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2023
Last updated Mar 8th, 2024 - about 2 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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