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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.