Amy Douglas
NPI 1104785401 · Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, OR
Amy Douglas is a Mental Health Clinic/Center (Including Community Mental Health Center) provider in Medford, OR (NPI 1104785401).
Provider details
- NPI number
- 1104785401
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3120 Centurion CirMedford, OR 97504-8363Phone: (458) 488-1250Fax: (458) 488-1252
Registry dates
- Enumerated
- 2026-01-21
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Amy Douglas's NPI number?
- Amy Douglas's National Provider Identifier (NPI) is 1104785401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Douglas's specialty?
- Amy Douglas is listed in the NPPES registry with a primary specialty of Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Amy Douglas located?
- Amy Douglas's practice location on file with NPPES is 1175 E Main St, Medford, OR 97504-7499.
- What is Amy Douglas's phone number?
- The practice phone number listed in the NPPES registry for Amy Douglas is (458) 488-1250.
- Is Amy Douglas's NPI active?
- Yes — Amy Douglas's NPI (1104785401) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.