Individual
MONICA MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9701 SW BARNES RD STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA152606
OR
Other
Enumeration date
08/30/2010
Last updated
10/09/2024
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