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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.