DOUGLAS A KOEKKOEK MD
NPI 1275628166
Hospitalist in Portland, OR

Q: What is Douglas Koekkoek's NPI number?

The NPI number for Douglas Koekkoek is 1275628166. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Douglas Koekkoek's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Koekkoek was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 04, 2006

4805 NE GLISAN ST, STE BG05, PORTLAND, OR 97213(503) 215-2393 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Douglas A Koekkoek Md NPPES

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

DOUGLAS A KOEKKOEK MD (NPI 1275628166) is an individual hospitalist provider in Portland, Oregon, licensed in Oregon (MD16043) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275628166

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDOUGLAS A KOEKKOEKCredential: MD

Location Address4805 NE GLISAN ST, STE BG05Portland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 215-2393

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateMarch 31, 2017

✔ NPI 1275628166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OR · MD16043

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD16043 (OR)

4805 NE GLISAN ST, Portland, OR 97213

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Other Identifiers 7

Medicare UPINF22560OR

Medicare PINR153543OR

Other110082876OR · Rr Medicare - Ph&s - Oregon (pmg)

Medicare PINR136398OR

Medicare PINR137364OR

Medicaid046453OR

Medicare PINR136397OR

Other Providers at the Same Location NPPES 20

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

SALONA SHRESTHA MD

Internal Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-2392

PROVIDENCE HEALTH & SERVICES - OREGON

General Acute Care Hospital

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 451-3000

DR. ROBERT THOMAS MARTIN M.D.

Emergency Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 297-6334

CECILIA BRADFORD CRNA

Nurse Anesthetist, Certified Registered

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

PROVIDENCE HEALTH & SERVICES - OREGON

Psychiatric Unit

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4323

GITA D GELFER DO

Hospitalist

4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MECCA CARTER

Doula

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

JESUS ERNESTO CONRIQUE GARCIA

Nurse's Aide

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

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 Koekkoek's NPI number?

The NPI number for Douglas Koekkoek is 1275628166. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Douglas Koekkoek located?

Douglas Koekkoek practices at 4805 NE Glisan St Ste Bg05, Portland, OR 97213. The listed phone number is (503) 215-2393.

What is Douglas Koekkoek's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Douglas Koekkoek was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.