Peter Douglas, DDS - Dentist in Portland, OR

Peter Douglas, DDS is a Dentist - Pediatric Dentistry based in Portland, Oregon. Peter Douglas is licensed to practice in Oregon (license number D11970) and his current practice location is 10300 Se Washington St Ste C101, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 776-3091.

NPI number for Peter Douglas is 1861999864 and his current mailing address is 1204 Se 34th Ave, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861999864.

Contact Information

Peter Douglas, DDS
10300 Se Washington St Ste C101,
Portland, OR 97216-2805
(503) 776-3091
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePeter Douglas
GenderMale
SpecialityDentist - Pediatric Dentistry
Location10300 Se Washington St Ste C101, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861999864
  • Provider Enumeration Date: 04/07/2018
  • Last Update Date: 09/09/2024

Medical Identifiers

Medical identifiers for Peter Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861999864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry D11970 (Oregon)Primary
1223P0221XDentist - Pediatric Dentistry 61039600 (Washington)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter Douglas, DDS
1204 Se 34th Ave,
Portland, OR 97214-4222

Ph: (712) 560-6260
Peter Douglas, DDS
10300 Se Washington St Ste C101,
Portland, OR 97216-2805

Ph: (503) 776-3091

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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