Individual
IRINA A MCGAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
610 SW ALDER ST STE 920, PORTLAND, OR 97205-3610
(503) 227-6050
(503) 227-6050
Mailing address
610 SW ALDER ST STE 920, PORTLAND, OR 97205-3610
(503) 227-6050
(503) 227-6050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10160251
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BAP-E-10160251
ELECTROLOGIST LICENSING
OR
Enumeration date
10/19/2020
Last updated
10/19/2020
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