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Individual

CHRISTINA DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
24076 SE STARK ST, SUITE 110, GRESHAM, OR 97030-3373
(503) 661-5388
(503) 666-9393
Mailing address
1611 S LAMAR ST, ANAHEIM, CA 92804-6042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21575
CA
363A00000X
Physician Assistant
PA166318
OR

Other

Enumeration date
07/15/2011
Last updated
03/14/2014
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