Individual provider · Type 1 NPI

Douglas E. Ray, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1114003100 Active

Practice location

4104 SE 82nd Ave, Suite 250
Portland, OR 97266-2954

Fax (503) 215-9855

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X087000130N1 FNP-PP (OR)
Family Nurse Practitioner Primary 363LF0000X087000130N1 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1114003100

Douglas E. Ray, FNP's National Provider Identifier is 1114003100, issued on Oct 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2012.