ANGELA DOUGLAS MD
NPI 1831482694
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since May 25, 2011PECOS Enrolled

3181 SW SAM JACKSON PARK RD # L579, PORTLAND, OR 97239(614) 607-0250 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Angela Douglas Md NPPES

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

ANGELA DOUGLAS MD (NPI 1831482694) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Oregon (MD166951) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831482694

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameANGELA DOUGLASCredential: MD

Location Address3181 SW SAM JACKSON PARK RD # L579Portland, OR 97239-3011

Mailing Address3181 Sw Sam Jackson Park Rd # L579Portland, OR 97239-3011 · (614) 607-0250

Phone(614) 607-0250

Sole ProprietorNo

Enumeration DateMay 25, 2011

Last NPPES UpdateOctober 31, 2023

NPPES CertifiedOctober 31, 2023

✔ NPI 1831482694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in OR · MD166951

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3181 SW SAM JACKSON PARK RD # L579, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Angela Douglas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.