George M Douglass Md Pc

LBN: George M Douglass Md Pc
George M Douglass Md Pc is an health care organization with primary practice located at 9445 Sw Locust St , Tigard OR 97223-6634. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. George M Douglass Md Pc can be contacted via phone (503) 352-1313, or through Douglass, George M via phone (503) 502-3989.

Contact Information

Primary practice address
9445 Sw Locust St Tigard OR 97223-6634
Phone: (503) 352-1313
Fax: (503) 352-1314
Website:
Map and Directions
Authorized official contact:
Name: Douglass, George M Doctor of Medicine (MD)
Phone: (503) 502-3989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X MD22100 Oregon

Profile Details

NPI number 1386983922
LBN Legal business name George M Douglass Md Pc
DBA Doing business as
Authorized official Douglass, George M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2013
Last updated Feb 1st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386983922 NPPES
Oregon MEDICAID 240052

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