Organization
JAY PAUL DOUGLASS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PAUL DOUGLASS MD (MEMBER)
(503) 635-6256
Entity
Organization
Contact information
Practice address
6464 SW BORLAND RD STE C1, TUALATIN, OR 97062-8856
(503) 635-6256
(503) 636-9604
Mailing address
6464 SW BORLAND RD STE C1, TUALATIN, OR 97062-8856
(503) 635-6256
(503) 636-9604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD153785
OR
Other
Enumeration date
10/25/2011
Last updated
07/15/2024
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