Individual
MRS. AMY JEAN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 E MAIN ST, MEDFORD, OR 97504-7499
(458) 488-1250
(458) 488-1252
Mailing address
180 MANZANITA DR, SHADY COVE, OR 97539-0150
(928) 846-5976
(458) 488-1252
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
02/19/2026
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