MRS. AMY JEAN DOUGLAS
NPI 1104785401
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR
NPI Status: Active since January 21, 2026
Contact Information
1175 E MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (458) 488-1250
Fax: (458) 488-1252
- Individual
- Female
- Clinic/Center
- Mental Health (Including Community Menta...
About AMY DOUGLAS
This page provides the complete NPI Profile along with additional information for Amy Douglas, a provider established in Medford, Oregon with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1104785401 assigned on January 2026. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an individual and her NPI record was last updated February 2026.
- NPI
- 1104785401
- Provider Name
- MRS. AMY JEAN DOUGLAS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1175 E MAIN ST MEDFORD, OR 97504
- Location Phone
- (458) 488-1250
- Location Fax
- (458) 488-1252
- Mailing Address
- 180 MANZANITA DR SHADY COVE, OR 97539
- Mailing Phone
- (928) 846-5976
- Mailing Fax
- (458) 488-1252
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-21-2026
- Last Update Date
- 02-19-2026
- Code Navigator
Location Map
Secondary Locations
- 3120 Centurion Cir
Medford, OR 97504
(458) 488-1250
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104785401, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104785401, enumerated as an "individual" on January 21, 2026.
The provider is located at 1175 E MAIN ST MEDFORD, OR 97504 and the phone number is (458) 488-1250.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
