Individual
MR. JOHN EUGENE DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1809 NW DAVIS ST, PORTLAND, OR 97209-2121
(503) 221-1973
Mailing address
1809 NW DAVIS ST, PORTLAND, OR 97209-2121
(503) 221-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4716
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000NGPJ
—
OR
Enumeration date
01/18/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us