Provider Demographics
NPI:1114609435
Name:DOUCETTE, NAT
Entity type:Individual
Prefix:
First Name:NAT
Middle Name:
Last Name:DOUCETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 3RD ST APT 11
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-3061
Mailing Address - Country:US
Mailing Address - Phone:202-870-8666
Mailing Address - Fax:
Practice Address - Street 1:12655 SW CENTER ST STE 221
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4769
Practice Address - Country:US
Practice Address - Phone:971-246-5970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health