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MRS. AMY JEAN DOUGLAS
NPI 1104785401
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR

Active since January 21, 2026
1175 E MAIN ST, MEDFORD, OR 97504(458) 488-1250(458) 488-1252 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amy Jean Douglas NPPES

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

MRS. AMY JEAN DOUGLAS (NPI 1104785401) is an individual mental health (including community mental health center) provider in Medford, Oregon and active in the NPI registry since January 2026. She maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1104785401
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameMRS. AMY JEAN DOUGLAS
Location Address1175 E MAIN STMedford, OR 97504-7499
Mailing Address180 Manzanita DrShady Cove, OR 97539-0150 · (928) 846-5976 · Fax (458) 488-1252
Phone(458) 488-1250
Fax(458) 488-1252
Sole ProprietorYes
Enumeration DateJanuary 21, 2026
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1104785401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1175 E MAIN ST, Medford, OR 97504
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Secondary Practice Location 1

Location 13120 Centurion CirMedford, OR 97504-8363 · Phone (458) 488-1250 · Fax (458) 488-1252

Other Providers at the Same Location NPPES 14

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

MICHAEL DAVID HOLT
Counselor
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 772-0127
NICHOLAS JOHN LOVING
Psychologist
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (480) 686-3408
JOHN PETER HARMS
Counselor
1175 E MAIN ST, SUITE 1C
MEDFORD, OR 97504
Jackson County (541) 956-4943
KAILA SARRO
Counselor
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 956-4943
JOSHUA LEE
Counselor
1175 E MAIN ST, STE. 1 C
MEDFORD, OR 97504
Jackson County (541) 772-0127
RACHEL BACHMAN
Counselor (Mental Health)
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 772-0127
CRYSTAL FAY GARCIA
Peer Specialist
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 772-0127
HANNAH HOLT
Counselor
1175 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 772-0127

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 Amy Douglas's NPI number?

The NPI number for Amy Douglas is 1104785401. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Amy Douglas located?

Amy Douglas practices at 1175 E Main St, Medford, OR 97504. The listed phone number is (458) 488-1250.

What is Amy Douglas's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Amy Douglas was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.