Individual
ROBERT EARL DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00030182
WA
208600000X
Surgery Physician
MD17856
OR
Other
Enumeration date
10/28/2006
Last updated
12/10/2015
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