Individual provider Active NPI

Douglas Ronald Lincoln III, MD, MPH

  • Pediatrics Physician
  • Happy Valley, OR
National Provider Identifier
1902012479
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD151153 Issued in OR
Practice address
9300 SE 91St Ave Ste 200
Happy Valley, OR 97086
Phone
(503) 261-1171
Fax
(503) 257-3963
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD151153 OR Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 200
Happy Valley, OR 97086

Mailing address

9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Phone (503) 261-1171

Other practice location 1

1130 NW 22nd Ave
Suite 320
Portland, OR 97210-2900
Phone (503) 295-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC Pediatrics PastSince Jun 8, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlincolniii18292@direct.lhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1902012479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-261-1171",
            "fax_number": "503-257-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-261-1171",
            "fax_number": "503-257-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 NW 22nd Ave",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102900",
            "country_code": "US",
            "telephone_number": "503-295-2546",
            "fax_number": "503-790-1248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "DOUGLAS",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD151153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.