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

Peter Douglas, DDS

Individual provider Pediatric Dentistry · NPI 1861999864

Peter Douglas, DDS is a Pediatric Dentistry in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2018.

Licensed in
OR, WA
In the registry since
2018
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

10300 SE Washington St Ste C101
Portland, OR 97216-2805
Phone: (503) 776-3091
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D11970 (OR)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 61039600 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861999864
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address1204 Se 34th Ave, Portland, OR 97214-4222

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