Organization
NANCY K DOUGHERTY MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KATHLEEN DOUGHERTY MD (CEO PRESIDENT)
(503) 255-0109
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST, STE 1004, PORTLAND, OR 97216
(503) 255-0109
(503) 255-0540
Mailing address
10101 SE MAIN ST, STE 1004, PORTLAND, OR 97216
(503) 255-0109
(503) 255-0540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17570
OR
Other
Enumeration date
09/13/2007
Last updated
10/04/2007
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