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DR. GEORGE M DOUGLASS MD NPI 1336182914


NPI Information

NPI: 1336182914
Provider Name: DR. GEORGE M DOUGLASS, MD
Classification: Emergency Medicine - 207PS0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
17355 BOONES FERRY RD
SUITE C
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 344-6445
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DR. George M Douglass, MD is a sports medicine emergency medicine in Lake Oswego, OR. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. DR. George M Douglass, MD NPI is 1336182914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17355 BOONES FERRY RD
SUITE C
LAKE OSWEGO, OR
ZIP 97035-202
Phone: (503) 344-6445
Fax: (503) 344-6852

The enumeration date for this NPI number is 6/13/2006 and was last updated on 12/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PS0010XEmergency MedicineSports MedicineMD22100OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00350187OTHERRAILROAD MEDICARE
28244444MEDICAIDWASHINGTON
38942008OTHERWA CRIME VICTIMS
4210868OTHERWA L & I
5240052MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.