DOUGLAS MEDICAL CLINIC PC
NPI 1033270863
Nurse Practitioner in Roseburg, OR

Active since December 13, 2006
1813 W HARVARD AVE, SUITE 201, ROSEBURG, OR 97470(541) 440-6390(541) 440-6392 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Douglas Medical Clinic Pc NPPES

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

DOUGLAS MEDICAL CLINIC PC (NPI 1033270863) is a healthcare organization registered as a nurse practitioner in Roseburg, Oregon and active in the NPI registry since December 2006. The organization lists Cinda L Tyler, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1033270863
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDOUGLAS MEDICAL CLINIC PC
Location Address1813 W HARVARD AVE, SUITE 201Roseburg, OR 97470-2752
Mailing Address1813 W Harvard Ave, Suite 201Roseburg, OR 97470-2752 · (541) 440-6390 · Fax (541) 440-6392
Fax(541) 440-6392
Organization SubpartNo
Authorized OfficialCinda L TylerClinic Administrator · (541) 440-6390
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1033270863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1813 W HARVARD AVE, Roseburg, OR 97470

Other Identifiers 1

Medicaid288040OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Internal Medicine
1813 W HARVARD AVE, SUITE 201
ROSEBURG, OR 97470
Urology
1813 W HARVARD AVE, SUITE 214
ROSEBURG, OR 97470
Orthopaedic Surgery
1813 W HARVARD AVE, SUITE 100
ROSEBURG, OR 97470
Pharmacy (Community/Retail Pharmacy)
1813 W HARVARD AVE, SUITE 210
ROSEBURG, OR 97470
Dentist (Endodontics)
1813 W HARVARD AVE, STE #240
ROSEBURG, OR 97470
Specialist
1813 W HARVARD AVE, SUITE 100
ROSEBURG, OR 97470
Neurological Surgery
1813 W HARVARD AVE, SUITE #330
ROSEBURG, OR 97470
Urology
1813 W HARVARD AVE, SUITE 214
ROSEBURG, OR 97470

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 Douglas Medical Clinic PC's NPI number?

The NPI number for Douglas Medical Clinic PC is 1033270863. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Douglas Medical Clinic PC located?

Douglas Medical Clinic PC is located at 1813 W Harvard Ave Suite 201, Roseburg, OR 97470. The listed phone number is (541) 440-6390.

What is Douglas Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Douglas Medical Clinic PC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.