Douglas, Mary
Douglas, Mary is an individual health care provider with primary practice located at 1112 Caroline St , Port Angeles WA 98362-4204. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Douglas, Mary can be contacted via phone (360) 417-8630.Contact Information
Primary practice address
1112 Caroline St
Port Angeles WA 98362-4204
Phone: (360) 417-8630
Fax: (360) 417-8635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00003831 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT00003831 | Washington |
Profile Details
| NPI number | 1891842274 |
|---|---|
| LBN Legal business name | Douglas, Mary |
| Credentials | OTRL, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Apr 22nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891842274 | NPPES |
| Washington | Other | 0304760 | L&I |
| Washington | MEDICAID | 8399149 | L&I |
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