Peter Douglas is a Portland, Oregon based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Peter Douglas is
D11970 for Pediatric Dentistry in Oregon. His current practice location is
10300 Se Washington St Ste C101, Portland. Patients can reach him at
503-776-3091.
Peter Douglas provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Peter Douglas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Peter Douglas |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10300 Se Washington St Ste C101, Portland,
Oregon, 97216-2805 |
| Phone: | 503-776-3091 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1861999864 |
| NPI Enumeration Date: | 07 Apr, 2018 |
| NPI Last Update On: | 09 Sep, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Douglas are as mentioned below.
| License Number | Specialization | State | Status | |
| D11970 | Pediatric Dentistry | Oregon | Primary | |
| 61039600 | Pediatric Dentistry | Washington | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1204 Se 34th Ave,
Portland, Oregon |
| Zip: | 97214-4222 |
| Phone Number: | 712-560-6260 |
Patients can reach Peter Douglas at
10300 Se Washington St Ste C101, Portland, Oregon or can
call to book an appointment on 503-776-3091.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.