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PETER DOUGLAS DDS
NPI 1861999864
Dentist - Pediatric Dentistry in Portland, OR

Active since April 07, 2018
10300 SE WASHINGTON ST STE C101, PORTLAND, OR 97216(503) 776-3091 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Nov 22, 2020, Jun 23, 2020 and 1 more (4 updates tracked since 2020).

About Peter Douglas Dds NPPES

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

PETER DOUGLAS DDS (NPI 1861999864) is an individual pediatric dentistry provider in Portland, Oregon, licensed in Oregon (D11970) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1861999864
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NamePETER DOUGLASCredential: DDS
Location Address10300 SE WASHINGTON ST STE C101Portland, OR 97216-2805
Mailing Address1204 Se 34th AvePortland, OR 97214-4222 · (712) 560-6260
Phone(503) 776-3091
Sole ProprietorNo
Enumeration DateApril 7, 2018
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1861999864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in OR · D11970✔ Licensed in WA · 61039600
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10300 SE WASHINGTON ST STE C101, Portland, OR 97216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. DONALD NGUYEN D.D.S.
Dentist
10300 SE WASHINGTON ST STE C101
PORTLAND, OR 97216
Multnomah County (503) 776-3091
YOSELINE VIDRIO
Dentist (Pediatric Dentistry)
10300 SE WASHINGTON ST STE C101
PORTLAND, OR 97216
Multnomah County (503) 776-3091
CHEOL M. CHOI DMD
Dentist (Pediatric Dentistry)
10300 SE WASHINGTON ST STE C101
PORTLAND, OR 97216
Multnomah County (503) 776-3091
YVONNE OTIS DMD
Dentist (General Practice)
10300 SE WASHINGTON ST STE C101
PORTLAND, OR 97216
Multnomah County (037) 763-0915

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 Peter Douglas's NPI number?

The NPI number for Peter Douglas is 1861999864. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Peter Douglas located?

Peter Douglas practices at 10300 SE Washington St Ste C101, Portland, OR 97216. The listed phone number is (503) 776-3091.

What is Peter Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Peter Douglas accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 10 other insurers list Peter Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Douglas was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.