Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Douglas DDS LLC

Organization Dental Clinic/Center · NPI 1063234722

Peter Douglas DDS LLC is a Dental Clinic/Center in Tigard, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12011 SW 70th Ave
Tigard, OR 97223-9634
Phone: (503) 616-2024
Fax: (503) 616-2328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1063234722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Douglas — Owner · (712) 560-6260
Other names Tigard Pediatric Dentistry
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address12011 Sw 70th Ave, Tigard, OR 97223-9634

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