Khoury, Douglas A

Khoury, Douglas A is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Khoury, Douglas A can be contacted via phone (503) 494-4373.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Phone: (503) 494-4373
Fax: (503) 418-4189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD189462 Oregon
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD189462 Oregon

Profile Details

NPI number 1457321754
LBN Legal business name Khoury, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Mar 5th, 2020 - about 4 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 1457321754 NPPES
Iowa MEDICAID 1142869

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