Individual
DR. CHRISTINE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101274598
VA
208D00000X
General Practice Physician
0101274598
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2020
Last updated
02/21/2025
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