Individual
DOUGLAS H KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N GRAHAM ST, #220, PORTLAND, OR 97227-1654
(503) 280-3418
(503) 284-7885
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(503) 283-5220
(503) 283-9527
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD14477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057775001
BLUE CROSS
OR
05
—
1053073
—
WA
05
—
130153
—
OR
Enumeration date
11/15/2005
Last updated
06/13/2011
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