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1760462543
JOHN EUGENE DOUGHERTY
PORTLAND, OR
NPI
1760462543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 4716)
Enumeration Date
2006-01-18
Last Update Date
2007-07-09
Business Address
Mr. JOHN EUGENE DOUGHERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2121
Phone number: 503-221-1973
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Mailing Address
Mr. JOHN EUGENE DOUGHERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2121
Phone number: 503-221-1973
Copy
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