Individual
ROBERT G DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
(541) 242-4585
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 686-9000
(541) 242-4585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14321
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142166
—
OR
Enumeration date
01/19/2006
Last updated
04/06/2009
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