Individual provider · Type 1 NPI

Laura Desiree Dougherty, P.A.

Medical Physician Assistant · Clackamas, OR

NPI number 1316913387 Active

Practice location

9775 SE Sunnyside Rd Ste 500
Clackamas, OR 97015-5724

Call (503) 654-7546 Map

Fax (503) 786-3542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA19988 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1316913387

Laura Desiree Dougherty, P.A.'s National Provider Identifier is 1316913387, issued on Feb 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clackamas, OR. The record was last updated on Nov 17, 2022.