Individual
MS. DEEANN ELIZABETH DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17120 PILKINGTON RD, LAKE OSWEGO, OR 97035-5353
(503) 768-9873
(503) 974-9083
Mailing address
17120 PILKINGTON RD, LAKE OSWEGO, OR 97035-5353
(503) 768-9873
(503) 974-9083
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1177
OR
Other
Enumeration date
03/22/2007
Last updated
12/20/2012
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