Doctor profile · Federal record
Dr. Peter Douglas, DDS
Pediatric Dentist · Pediatric Dentist · Student in an Organized Health Care Education/Training Program · Portland, OR
- NPI 1861999864
- 8 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10300 Se Washington St Ste C101
Portland, OR 972162805
(503) 776-3091 - Mailing address
-
1204 Se 34Th Ave
Portland, OR 972144222
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- September 9, 2024
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- Oregon #D11970 · Washington #61039600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861999864. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $18.50 |
By nature of payment
Frequently asked questions
What is Dr. Peter Douglas's medical specialty?
Dr. Peter Douglas practices Pediatric Dentist in Portland, OR.
Where does Dr. Peter Douglas practice?
Dr. Peter Douglas practices at 10300 Se Washington St Ste C101, Portland, OR 972162805. Office phone: 5037763091.
What is Dr. Peter Douglas's NPI?
Dr. Peter Douglas's National Provider Identifier (NPI) is 1861999864, issued by NPPES.