Mr. John Eugene Dougherty is a Portland, Oregon based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. John Eugene Dougherty is
4716 for General Practice Dentistry in Oregon. His current practice location is
1809 Nw Davis St, Portland. Patients can reach him at
503-221-1973.
Mr. John Eugene Dougherty is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. John Eugene Dougherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. John Eugene Dougherty |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1809 Nw Davis St, Portland,
Oregon, 97209-2121 |
| Phone: | 503-221-1973 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1760462543 |
| NPI Enumeration Date: | 18 Jan, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. John Eugene Dougherty are as mentioned below.
| License Number | Specialization | State | Status | |
| 4716 | General Practice Dentistry | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. John Eugene Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0000NGPJ | Medicaid | Oregon | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1809 Nw Davis St,
Portland, Oregon |
| Zip: | 97209-2121 |
| Phone Number: | 503-221-1973 |
Patients can reach Mr. John Eugene Dougherty at
1809 Nw Davis St, Portland, Oregon or can
call to book an appointment on 503-221-1973.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.