Individual
DR. DOUGLAS A KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD189462
OR
208C00000X
Colon & Rectal Surgery Physician
Primary
MD189462
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142869
—
IA
Enumeration date
01/26/2006
Last updated
03/05/2020
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