John Eugene Dougherty in Portland - General Practice
John Eugene Dougherty - NPI 1760462543
John Eugene Dougherty is a General Practice in Portland, Oregon. John Eugene Dougherty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Eugene Dougherty is 1760462543. The last update date is 2007-07-09.
John Eugene Dougherty's current location address is 1809 Nw Davis St, Portland, Oregon. You can contact this provider via phone number 5032211973. The mailing address for John Eugene Dougherty is 1809 Nw Davis St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Eugene Dougherty |
|---|---|
| Address | 1809 Nw Davis St, Portland, Oregon |
| Phone Number | 5032211973 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1760462543 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1809 Nw Davis St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972092121 |
| Phone Number | 5032211973 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4716 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000NGPJ | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Eugene Dougherty?
The John Eugene Dougherty has been issued the NPI (National Provider Identifier) 1760462543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John Eugene Dougherty is geographically located?
The John Eugene Dougherty is physically situated at the following location: 1809 Nw Davis St, Portland, OR, 972092121.
What is John Eugene Dougherty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Eugene Dougherty is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760462543 to John Eugene Dougherty?
The John Eugene Dougherty received its 1760462543 assignment from the Centers for Medicare & Medicaid Services on 2006-01-18.
As of what date were the details pertaining to John Eugene Dougherty last refreshed?
The information related to the John Eugene Dougherty, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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