Laura D Dougherty (NPI# 1316913387, PAC ID# 6709807423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316913387 |
| PAC ID by PECOS | 6709807423 |
| Professional Enrollment ID | I20181219001172 |
| Full Name | Laura D Dougherty |
| Organization Legal Name | CLACKAMAS DERMATOLOGY PC |
| Address |
9775 Se Sunnyside Rd Suite 500 Clackamas OR 97015-5724 |
| Phone Number | 5036547546 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183618440 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 | 5036547546 | CLACKAMAS DERMATOLOGY PC |
| 10101 Se Main St, Suite 2014, Portland, OR 97216-2457 | 5032615918 | CLACKAMAS DERMATOLOGY PC |
| 1530 Sw 257th Ave, Troutdale, OR 97060-7412 | 5034892698 | CLACKAMAS DERMATOLOGY PC |
| Organization Legal Name | CLACKAMAS DERMATOLOGY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan B Smith | Physician Assistant | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Leslie E Stapp | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Paul J Aanderud | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Erin J Worth | Physician Assistant | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Neil A Swanson | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Street Address |
9775 SE SUNNYSIDE RD SUITE 500 |
| City | CLACKAMAS |
| State | OR |
| Zip | 97015-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan B Smith | Physician Assistant | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Leslie E Stapp | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Paul J Aanderud | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Erin J Worth | Physician Assistant | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Neil A Swanson | Dermatology | Clackamas Dermatology PC | 9775 Se Sunnyside Rd, Suite 500, Clackamas, OR 97015-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrence A Sedgewick | Orthopedic Surgery | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Dayna Lynn Bailey | Speech Language Pathologist | Premere Rehab LLC | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 |
| Claire M Mysliwy | Physical Therapy | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Guadalupe C Gabba | Nurse Practitioner | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Cheryl A Chessick | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Kathryn N Schwartz | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Rory E Green | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Mara M Christensen | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Seema A Dewani | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Erin M Wallace | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Find all physicians in zip 97015 | |||
| City | CLACKAMAS |
| Zip Code | 97015 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLACKAMAS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura D Dougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.