person
Jacob Patrick Dougherty, DO
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1063263739

Jacob Patrick Dougherty is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jacob Patrick Dougherty practices in Portland, OR and has the professional credentials of DO. The NPI Number for Jacob Patrick Dougherty is 1063263739 and holds a License No. (Oregon).

The current practice location address for Jacob Patrick Dougherty is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8211.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098
person
Provider Profile Details
NPI Number
1063263739
Provider Name
Jacob Patrick Dougherty
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098
Phone Number
503-494-8211
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3098
Phone Number
503-494-8211
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3098
Phone Number
503-494-8211
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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