Laura Desiree Dougherty in Clackamas - Medical
Laura Desiree Dougherty - NPI 1316913387
Laura Desiree Dougherty is a Medical in Clackamas, Oregon. Laura Desiree Dougherty practices all healthcare services and medical treatments related to Medical. The NPI Number for Laura Desiree Dougherty is 1316913387. The last update date is 2022-11-17.
Laura Desiree Dougherty's current location address is 9775 Se Sunnyside Rd Ste 500, Clackamas, Oregon. You can contact this provider via phone number 5036547546 and fax number 5037863542. The mailing address for Laura Desiree Dougherty is 9775 Se Sunnyside Rd Ste 500, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Desiree Dougherty |
|---|---|
| Address | 9775 Se Sunnyside Rd Ste 500, Clackamas, Oregon |
| Phone Number | 5036547546 |
| Fax Number | 5037863542 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1316913387 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 9775 Se Sunnyside Rd Ste 500 |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970155724 |
| Phone Number | 5036547546 |
| Fax Number | 5037863542 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA19988 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA19988 | CA | CALIFORNIA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laura Desiree Dougherty by the Centers for Medicare & Medicaid Services?
The Laura Desiree Dougherty has been issued the NPI (National Provider Identifier) 1316913387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Laura Desiree Dougherty's facilities are geographically located?
The facilities of Laura Desiree Dougherty are physically situated at the following location: 9775 Se Sunnyside Rd Ste 500, Clackamas, OR, 970155724.
What is Laura Desiree Dougherty's area of expertise and its corresponding taxonomy classification?
The Laura Desiree Dougherty's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316913387 to Laura Desiree Dougherty?
The Centers for Medicare & Medicaid Services originally issued the 1316913387 to Laura Desiree Dougherty on 2006-02-28.
When was the information related to Laura Desiree Dougherty most recently updated or refreshed?
The details pertaining to the Laura Desiree Dougherty, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-11-17.
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