Individual
CARLY ELIZABETH DOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9155 SW BARNES RD STE 420, PORTLAND, OR 97225-6631
(503) 297-6334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD204286
OR
Other
Enumeration date
04/10/2018
Last updated
09/23/2021
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