Douglass, Jeffrey Matthew

Douglass, Jeffrey Matthew is an individual health care provider with primary practice located at 19250 Sw 90Th Ave , Tualatin OR 97062-7585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Douglass, Jeffrey Matthew can be contacted via phone (503) 692-3750.

Contact Information

Primary practice address
19250 Sw 90Th Ave Tualatin OR 97062-7585
Phone: (503) 692-3750
Fax: (503) 691-2324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD23825 Oregon

Profile Details

NPI number 1487611984
LBN Legal business name Douglass, Jeffrey Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 28th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487611984 NPPES
Washington MEDICAID 1487611984
Washington MEDICAID 286435

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