JOHN EUGENE DOUGHERTY

PORTLAND, OR
NPI1760462543
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  4716)
Enumeration Date2006-01-18
Last Update Date2007-07-09
Business Address
MR. JOHN EUGENE DOUGHERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2121
Phone number: 503-221-1973
Mailing Address
MR. JOHN EUGENE DOUGHERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2121
Phone number: 503-221-1973