Active NPI
Douglas J Key, MD
- Specialist
- Portland, OR
National Provider Identifier
1083883334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 09124
- Practice address
- 9755 SW Barnes Road Suite 155
Portland, OR 97225-6663 - Phone
- (503) 291-1953
- Fax
- (503) 292-7296
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 09124 | OR | Primary |
Addresses
Primary practice location
9755 SW Barnes Road Suite 155
Portland, OR 97225-6663
Mailing address
9755 SW Barnes Road Suite 155
Portland, OR 97225-6663
Phone (503) 291-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 8, 2015 through Dec 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09124 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1083883334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 SW BARNES ROAD SUITE 155",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-291-1953",
"fax_number": "503-292-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 SW BARNES ROAD SUITE 155",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-291-1953",
"fax_number": "503-292-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "09124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.