Individual
DOUGLAS E RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266-2954
(503) 215-9850
(503) 215-9855
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
087000130N1
OR
363LF0000X
Family Nurse Practitioner
087000130N1 FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060637
—
OR
05
—
139449
—
OR
Enumeration date
10/31/2006
Last updated
10/12/2012
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