Individual
CHELSEA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14480 SW 90TH AVE, PORTLAND, OR 97224
(425) 445-1575
Mailing address
14480 SW 90TH AVE, PORTLAND, OR 97224-6039
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201706329NP
OR
363LP0200X
Pediatric Nurse Practitioner
271206
MA
Other
Enumeration date
05/31/2012
Last updated
05/16/2018
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