Douglas E Ray is a Family in Portland, Oregon. Douglas E Ray practices all healthcare services and medical treatments related to Family. The NPI Number for Douglas E Ray is 1114003100. The last update date is 2012-10-12.
Douglas E Ray's current location address is 4104 Se 82nd Ave, Portland, Oregon. You can contact this provider via phone number 5032159850 and fax number 5032159855. The mailing address for Douglas E Ray is 4104 Se 82nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas E Ray |
|---|---|
| Address | 4104 Se 82nd Ave, Portland, Oregon |
| Phone Number | 5032159850 |
| Fax Number | 5032159855 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1114003100 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2012-10-12 |
Provider Mailing Address Detail
| Address | 4104 Se 82nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972662954 |
| Phone Number | 5032159850 |
| Fax Number | 5032159855 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 087000130N1 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60637 | OR | -- | |
| 139449 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas E Ray by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas E Ray has been assigned the NPI (National Provider Identifier) 1114003100. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Douglas E Ray's physical address?
The Douglas E Ray is physically located at 4104 Se 82Nd Ave, in the city of Portland, OR, with the postal code 972662954.
What is the Douglas E Ray's specialty and taxonomy code?
The Douglas E Ray's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114003100 to Douglas E Ray?
The Centers for Medicare & Medicaid Services assigned the 1114003100 to Douglas E Ray on 2006-10-31.
When was the Douglas E Ray's information last updated?
The Douglas E Ray's information was last updated on 2012-10-12.
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