DR. JAE PATRICIA DOUGLAS LMSW, PH.D.
NPI 1881370153
Counselor - Mental Health in Portland, OR

Q: What is Jae Douglas's NPI number?

The NPI number for Jae Douglas is 1881370153. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Jae Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jae Douglas was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 22, 2023

9805 NE SHAVER ST, PORTLAND, OR 97220(503) 860-7589 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jae Patricia Douglas Lmsw, Ph.d. NPPES

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

DR. JAE PATRICIA DOUGLAS LMSW, PH.D. (NPI 1881370153) is an individual mental health provider in Portland, Oregon, licensed in Oregon (M13927) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1881370153

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. JAE PATRICIA DOUGLASCredential: LMSW, PH.D.

Location Address9805 NE SHAVER STPortland, OR 97220-3651

Mailing Address9805 Ne Shaver StPortland, OR 97220-3651 · (503) 860-7589

Phone(503) 860-7589

Sole ProprietorYes

Enumeration DateJune 22, 2023

NPPES CertifiedJune 22, 2023

✔ NPI 1881370153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · M13927

9805 NE SHAVER ST, Portland, OR 97220

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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 Jae Douglas's NPI number?

The NPI number for Jae Douglas is 1881370153. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Jae Douglas located?

Jae Douglas practices at 9805 NE Shaver St, Portland, OR 97220. The listed phone number is (503) 860-7589.

What is Jae Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jae Douglas was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.