MR. MARK WILLIAM DOUGLASS LPC NPI 1023283660

NPI Information

NPI: 1023283660
Provider Name: MR. MARK WILLIAM DOUGLASS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
10920 SW BARBUR BLVD.
PORTLAND, OR
ZIP 97219
Phone: (503) 244-4500
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MR. Mark William Douglass, LPC is a professional counselor in Portland, OR. MR. Mark William Douglass, LPC NPI is 1023283660. 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:

10920 SW BARBUR BLVD.
PORTLAND, OR
ZIP 97219
Phone: (503) 244-4500
Fax: (503) 244-2008

The enumeration date for this NPI number is 4/24/2008 and was last updated on 10/28/2021.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18-03-14	OREGON	No
2	101YP2500X	Counselor	Professional	C2839	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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