Individual
DR. DOUGLAS JAMES NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
Mailing address
3181 SW SAM JACKSON PARK RD, MQ360, PORTLAND, OR 97239-3011
(503) 494-7880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD11892
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171488
—
OR
Enumeration date
07/31/2006
Last updated
08/19/2011
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