Individual
DR. KRISTEN MARIE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8645 SE SUNNYBROOK BLVD STE UNIT200, CLACKAMAS, OR 97015-6841
(503) 659-1694
Mailing address
23878 SW ROBSON TER, SHERWOOD, OR 97140-7057
(503) 523-9344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD203546
OR
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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