Individual provider · Type 1 NPI

Amy Jean Douglas

Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, OR

NPI number 1104785401 Active

Practice location

1175 E Main St
Medford, OR 97504-7499

Call (458) 488-1250 Map

Fax (458) 488-1252

Mailing address

180 Manzanita Dr
Shady Cove, OR 97539-0150

Other practice locations

  • 3120 Centurion Cir, Medford, OR 97504-8363 · (458) 488-1250

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

14 other providers at this address

About NPI 1104785401

Amy Jean Douglas's National Provider Identifier is 1104785401, issued on Jan 21, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Medford, OR. The record was last updated on Feb 19, 2026.