Individual
KATHRYN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
307 S 13TH ST, MOUNT VERNON, WA 98274-4100
(360) 336-9757
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
CA210001370
DC
363A00000X
Physician Assistant
MA061924
PA
363A00000X
Physician Assistant
OA005376
PA
363A00000X
Physician Assistant
Primary
PA61669714
WA
Other
Enumeration date
11/19/2020
Last updated
08/18/2025
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