Individual
MRS. LAURA DESIREE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9775 SE SUNNYSIDE RD STE 500, CLACKAMAS, OR 97015-5724
(503) 654-7546
(503) 786-3542
Mailing address
9775 SE SUNNYSIDE RD STE 500, CLACKAMAS, OR 97015-5724
(503) 654-7546
(503) 786-3542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19988
CALIFORNIA LICENSE
CA
Enumeration date
02/28/2006
Last updated
11/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us