ANGELA DOUGLAS (NPI# 1831482694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831482694 |
Entity Type | Individual |
Full Name | ANGELA DOUGLAS |
Credential | MD |
Practice Address |
3181 Sw Sam Jackson Park Rd # L579 Portland OR 97239-3011 |
Practice Telephone | 6146070250 |
Mailing Telephone | 6146070250 |
Enumeration Date | 2011-05-25 |
Last Update Date | 2014-05-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD166951 | OR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
1073920740 | Angela Douglas | Counselor | N5735 Frances Cir, Albany, WI 53502-9339 | 2014-07-15 |
1841571148 | Angela Grace Douglas | Counselor | 12157 W Cedar Dr Ste 200, Lakewood, CO 80228-2105 | 2011-08-31 |
1770797383 | Angela C. Douglas | Social Worker | 428 S Gilbert Rd Ste 106-5, Gilbert, AZ 85296-2263 | 2007-05-10 |
1588265300 | Angela Marie Douglas | Pharmacist | 4040 N Newton St, Jasper, IN 47546-2575 | 2020-11-06 |
1952837700 | Angela Douglas | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2017-05-11 |
1043696552 | Angela Melody-oska Douglas | Dentist | 55 S Main St, Clarkston, MI 48346-1527 | 2015-08-06 |
1689003089 | Angela Douglas | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-11-06 |
1194007153 | Angela Douglas | Pharmacist | 8046 Macon Rd, Cordova, TN 38018-8531 | 2011-09-15 |
1912155656 | Angela Lauren Douglas | Physical Therapist | 5290 E Yale Cir, Suite 207, Denver, CO 80222-6918 | 2008-09-06 |
Street Address |
3181 SW SAM JACKSON PARK RD # L579 |
City | PORTLAND |
State | OR |
Zip Code | 97239-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306005319 | Hatem Adel Sabry | Neurological Surgery | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2008-06-04 |
1821617200 | Hannah Stowe Mcmurry | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2020-04-15 |
1639798333 | Jason Paul Jarria | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2020-04-13 |
1053940650 | Sarah Elizabeth Lindsay | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2020-04-06 |
1932736279 | Jean Michael Sabile | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3098 | 2020-03-26 |
1760019038 | Adrian Cois | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2020-03-25 |
1699238535 | Juan Camilo Vanegas | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3098 | 2019-04-08 |
1770044901 | Alexa Tyler | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2019-03-29 |
1417418971 | Lauren Marissa Stumbras | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2019-03-27 |
1083119523 | Lindsay Catherine Ballard | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3098 | 2018-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073611687 | Breton Charles Freitag | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
1740232974 | Paul Stobie | Pediatrics | 109 Lost Creek Dr, Portland, TX 78374-1449 | 2006-05-16 |
1457319295 | Sean L Sweeney | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2006-05-02 |
1932641180 | Holly Kay Hunt | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2016-11-04 |
1164765590 | Casey Sterling Ward | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2013-04-04 |
1003159757 | Megan Furnari | Pediatrics | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-01 |
1811254188 | Leah Yieh | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-04-11 |
1205129699 | Adrienne Rachael Bingham | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225 | 2011-05-18 |
1093004541 | Ladawna Gievers | Pediatrics | 707 Sw Gaines St, Mail Cdrc-p, Portland, OR 97239-2901 | 2011-04-05 |
1700192523 | Ryan Lam | Pediatrics | 707 Sw Gaines St, Oregon Health & Science University, Portland, OR 97239-2901 | 2010-08-31 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.