Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMY JEAN DOUGLAS
Active Sole ProprietorMRS. AMY JEAN DOUGLAS is a Mental Health Clinic healthcare provider located in MEDFORD, Oregon. NPI 1104785401 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · MEDFORD, OR
Registration Details
- NPI Number
- 1104785401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2026 (0.59322511944749 yrs)
- Last Updated
- Feb 19, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
1175 E MAIN STMEDFORD, OR, 975047499Browse OR providers · Browse ZIP 97504
- Phone
- 4584881250
- Fax
- 4584881252
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.