Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jae Patricia Douglas, LMSW, PHD

Individual provider Mental Health Counselor · NPI 1881370153

Dr. Jae Patricia Douglas, LMSW, PHD is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9805 NE Shaver St
Portland, OR 97220-3651
Phone: (503) 860-7589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence M13927 (OR)

Record details

NPI number1881370153
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , PHD
Sole proprietorYes
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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