Jay Paul Douglass MD LLC
NPI 1578849360ActiveOrganization· Internal Medicine· Tualatin, OR
Internal Medicine in Tualatin, Oregon, registered in NPPES in October 2011. The authorized official on file is Jay Paul Douglass, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578849360 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2011 |
| Last updated in NPPES | Jul 15, 2024 |
| Certified by provider | Jul 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD153785 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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