CONRAD M DOUMA JR. CADC I
NPI 1023131646
Counselor - Addiction (Substance Use Disorder) in Siletz, OR

Q: What is Conrad Douma's NPI number?

The NPI number for Conrad Douma is 1023131646. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Conrad Douma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Conrad Douma was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007

107 SE SWAN, SILETZ, OR 97380(541) 444-1030(541) 444-9695 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Conrad M Douma Jr. Cadc I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD M DOUMA JR. CADC I (NPI 1023131646) is an individual addiction (substance use disorder) provider in Siletz, Oregon, licensed in Oregon (99-11-10) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1023131646

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCONRAD M DOUMA JR.Credential: CADC I

Location Address107 SE SWANSiletz, OR 97380

Mailing AddressPo Box 320Siletz, OR 97380-0320 · (541) 444-1030 · Fax (541) 444-9695

Phone(541) 444-1030

Fax(541) 444-9695

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023131646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 99-11-10

107 SE SWAN, Siletz, OR 97380

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA S GORDON CADC II

Counselor (Addiction (Substance Use Disorder))

107 SE SWAN
SILETZ, OR 97380

Lincoln County (541) 444-1030

ALLEN K NELSON CDSIII

Counselor (Addiction (Substance Use Disorder))

107 SE SWAN
SILETZ, OR 97380

Lincoln County (541) 444-1030

JANET WICKLUND CADC II

Counselor (Addiction (Substance Use Disorder))

107 SE SWAN
SILETZ, OR 97380

Lincoln County (541) 444-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Douma's NPI number?

The NPI number for Conrad Douma is 1023131646. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Conrad Douma located?

Conrad Douma practices at 107 SE Swan, Siletz, OR 97380. The listed phone number is (541) 444-1030.

What is Conrad Douma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Conrad Douma was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.