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Edmond Douglas
NPI 1790535599 · Peer Specialist · Portland, OR
Edmond Douglas is a Peer Specialist provider in Portland, OR (NPI 1790535599).
Provider details
- NPI number
- 1790535599
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3036 Ne Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Edmond Douglas's NPI number?
- Edmond Douglas's National Provider Identifier (NPI) is 1790535599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmond Douglas's specialty?
- Edmond Douglas is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Edmond Douglas located?
- Edmond Douglas's practice location on file with NPPES is 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053.
- What is Edmond Douglas's phone number?
- The practice phone number listed in the NPPES registry for Edmond Douglas is (503) 283-3763.
- Is Edmond Douglas's NPI active?
- Yes — Edmond Douglas's NPI (1790535599) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.