JACOB PATRICK DOUGHERTY

PORTLAND, OR
NPI1063263739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-29
Last Update Date2024-03-29
Business Address
JACOB PATRICK DOUGHERTY DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
JACOB PATRICK DOUGHERTY DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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