Active NPI 1023283660 Individual Practitioner Male Practitioner

Mark William Douglass , LPC

Counselor - Professional • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Mark Douglass, LPC is a registered healthcare professional specializing in Counselor - Professional in Clackamas, OR. Practice services are available at 10180 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10180 Se Sunnyside Rd

Clackamas, OR 970158970

Telephone 5035170878

Fax 5035170866

Associated Practice Facility / Clinic

🏢 Kaiser Foundation Health Plan Northwest Facility NPI 1528002474

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Clackamas, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.0 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Clackamas, OR (2601 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-24

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C2839

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 18-03-14

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Daniel Lotspeich , MD

Internal Medicine

NPI 1003038332

Doctor of Medicine (M.D.)

Megan Kelly

Emergency Medicine

NPI 1003159716

Dr. Jarrod Larson , MD

Anesthesiology

NPI 1003251133

Doctor of Medicine (M.D.)

Jessica Sexton-Dorsett

Nurse Anesthetist, Certified Registered

NPI 1003433517

Dane Slagle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003520750

Certified Registered Nurse Anesthetist

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location November 24, 2023

Registered at 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 970158970 (Tel: 5035170878)

📍

Updated Business Mailing Address November 24, 2023

Registered at 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 970158970 (Tel: 5035710878)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2023

Counselor (License #C2839 in OR)

📍

Updated Practice Location October 28, 2021

Registered at 10920 SW BARBUR BLVD., PORTLAND, OR 97219 (Tel: 5032444500)

📍

Updated Business Mailing Address October 28, 2021

Registered at 10920 SW BARBUR BLVD., PORTLAND, OR 97219 (Tel: 5032444500)

👤

Provider Name / Credentials Updated October 28, 2021

Recorded as MARK DOUGLASS, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2021

Counselor (License #18-03-14 in OR)

✅

NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2008

Registered at 412 SW 12TH AVE, PORTLAND, OR 972052329 (Tel: 5032287134)

📍

Updated Business Mailing Address June 19, 2008

Registered at PO BOX 8459, PORTLAND, OR 972078459 (Tel: 5032380769)

👤

Provider Name / Credentials Updated June 19, 2008

Recorded as MARK DOUGLASS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Counselor

🟢

Initial NPI Registration & Enumeration April 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mark Douglass. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023283660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2008

Last Update: November 24, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10180 Se Sunnyside Rd

Clackamas, OR 970158970

Phone: 5035710878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.