person
Mrs. Laura Desiree Dougherty, PA
Medical Physician Assistant in Clackamas, Oregon
NPI 1316913387

Laura Desiree Dougherty is a Medical Physician Assistant based in Clackamas, OR and is specialized in Medical. Laura Desiree Dougherty practices in Clackamas, OR and has the professional credentials of PA. The NPI Number for Laura Desiree Dougherty is 1316913387 and holds a License No. PA19988 (Oregon).

The current practice location address for Laura Desiree Dougherty is 9775 Se Sunnyside Rd Ste 500, Clackamas, OR and can be reached out via phone at 503-654-7546 and via fax at 503-786-3542. You can also correspond with Laura Desiree Dougherty through the mailing address at 9775 SE SUNNYSIDE RD STE 500, CLACKAMAS, OR - 97015-5724 (mailing address contact number: 503-654-7546).

Location: 9775 Se Sunnyside Rd Ste 500, Clackamas, OR, 97015-5724
person
Provider Profile Details
NPI Number
1316913387
Provider Name
Laura Desiree Dougherty
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9775 Se Sunnyside Rd Ste 500, Clackamas, OR, 97015-5724
Phone Number
503-654-7546
Fax Number
503-786-3542
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA19988 01 CA CALIFORNIA LICENSE
institution
Provider Business Practice Location Address Details
Address
9775 Se Sunnyside Rd Ste 500
City
State
Zip
97015-5724
Phone Number
503-654-7546
Fax Number
503-786-3542
person
Provider Business Mailing Address Details
Address
9775 Se Sunnyside Rd Ste 500
City
State
Zip
97015-5724
Phone Number
503-654-7546
Fax Number
503-786-3542
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA19988 (California)
Definition
Definition to come...
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