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

Jake Select Douma

Individual provider Physical Therapy Assistant · NPI 1508789207

Jake Select Douma is a Physical Therapy Assistant in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

19945 SW Boones Ferry Rd
Tualatin, OR 97062-7272
Phone: (150) 361-2540
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10462 (OR)

Record details

NPI number1508789207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address4560 Se International Way Ste 100, Portland, OR 97222-4628

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