Individual
LADINA M DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 FERRY ST SE STE 3, SALEM, OR 97301-3751
(971) 707-4673
Mailing address
544 FERRY ST SE STE 3, SALEM, OR 97301-3751
(971) 707-4673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/16/2024
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