Individual
JEAN ELIZABETH DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
15106 OYER DR, OREGON CITY, OR 97045-7249
(503) 657-5603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
OR097006659CRNA
OR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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