Jay Paul W Douglass (NPI# 1477714491, PAC ID# 2961673827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477714491 |
| PAC ID by PECOS | 2961673827 |
| Professional Enrollment ID | I20110926000483 |
| Full Name | Jay Paul W Douglass |
| Address |
16463 Boones Ferry Rd Suite 300 Lake Oswego OR 97305-4376 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97305-4376 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 86% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 14% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 12% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 24% |
| Street Address |
16463 BOONES FERRY RD SUITE 300 |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97305-4376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Hashiguchi | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4376 | |
| Daryl William Baron | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4376 | |
| Stephen Robert Enloe | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4376 | |
| Lauren Marlene Gearhart | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carilyn C Ellis | Psychologist, Clinical | 3857 Wolverine Dr Ne, Bldg C Suite 6, Salem, OR 97305 | |
| Randy Edward Lerner | Audiologist | Salem Audiology Clinic Inc | 3857 16c Wolverine Ne, Salem, OR 97305 |
| Christopher T Stevenson | Chiropractic | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1065 | |
| Jason A Holt | Chiropractic | Christopher T Stevenson | 1880 Lancaster Dr Ne, Salem, OR 97305-1065 |
| Juan Castillo | Nurse Practitioner | 1880 Lancaster Dr Ne, Suite 119, Salem, OR 97305-1068 | |
| Philippe Champagne | Internal Medicine | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Pamela G Witherspoon | Family Medicine | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Donald R Asay | Optometry | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Ryan C Johnson | Nurse Practitioner | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Lydia Alvarez | Nurse Practitioner | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Find all physicians in zip 97305 | |||
| City | LAKE OSWEGO |
| Zip Code | 97305 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAKE OSWEGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jay Paul W Douglass.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.