Amy Jean Douglas

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

1175 E Main St
Medford, OR 97504-7499

Phone

(458) 488-1250

Fax

(458) 488-1252

NPI assigned

Jan 21, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1104785401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MANZANITA DR",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975390150",
            "telephone_number": "928-846-5976",
            "fax_number": "458-488-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047499",
            "telephone_number": "458-488-1250",
            "fax_number": "458-488-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Centurion Cir",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048363",
            "country_code": "US",
            "telephone_number": "458-488-1250",
            "fax_number": "458-488-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory G Dorman, BA
• Robert David Dorshorst, PA
• Autumn Jewel Doshier
• Brian Lane Dossey, MD
• Douglas Education Service District
• Dahna Dow, RN, LCSW
• David James Downey, M.D.
• Patrick Allen Downey, PTA
• Alisha Downs
• Downtown Pharmacy Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, OR
• Providers in Medford, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.