Individual
MINDY DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1356 NW 16TH CT, REDMOND, OR 97756-1477
(714) 420-1208
Mailing address
1356 NW 16TH CT, REDMOND, OR 97756-1477
(714) 420-1208
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201408333RN
OR
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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