Individual
DOHERTY BRESNAHAN GILCHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 HILYARD ST STE 230, EUGENE, OR 97401-8122
(458) 205-6011
(541) 302-4733
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 747-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD20672
OR
207R00000X
Internal Medicine Physician
Primary
MD20672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150506
—
OR
Enumeration date
12/07/2005
Last updated
09/24/2024
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