DOUGLAS E RAY FNP
NPI 1114003100
Nurse Practitioner - Family in Portland, OR

Active since October 31, 2006
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266(503) 215-9850(503) 215-9855 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas E Ray Fnp NPPES

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

DOUGLAS E RAY FNP (NPI 1114003100) is an individual family provider in Portland, Oregon, licensed in Oregon (087000130N1) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114003100
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS E RAYCredential: FNP
Location Address4104 SE 82ND AVE, SUITE 250Portland, OR 97266-2954
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 215-9855
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 12, 2012
NPI 1114003100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OR · 087000130N1 Licensed in OR · 087000130N1 FNP-PP
4104 SE 82ND AVE, Portland, OR 97266

Other Identifiers 5

Medicare UPINR84240OR
Medicare ID-Type Unspecified115056OR
Medicaid060637OR
Medicaid139449OR
Medicare PINR138003OR

Other Providers at the Same Location NPPES 19

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

Dentist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Dental Hygienist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Dental Hygienist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

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 Ray's NPI number?

The NPI number for Douglas Ray is 1114003100. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Douglas Ray located?

Douglas Ray practices at 4104 SE 82nd Ave Suite 250, Portland, OR 97266. The listed phone number is (503) 215-9850.

What is Douglas Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Douglas Ray was last updated on October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.