Douglas E Ray, FNP
Nurse Practitioner, Family in Portland, OR. Individual provider (NPI-1).
NPI number1114003100
StatusActive
Last updated in NPPESOct 12, 2012
Details
- NPI
- 1114003100
- Entity type
- Individual (NPI-1)
- Name
- Douglas E Ray
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2006
- Last updated
- Oct 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 087000130N1 | OR | Yes |
| 363LF0000X | Nurse Practitioner, Family | 087000130N1 FNP-PP | OR |
Practice location
4104 Se 82nd AveSuite 250
Portland, OR 97266-2954
Phone 503-215-9850 · Fax 503-215-9855
Mailing address
Po Box 3158Portland, OR 97208-3158
Phone 503-215-6494 · Fax 503-215-6644
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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