Individual
BRUCE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1290
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041667
OR
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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