Nancy K Dougherty MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD17570 Issued in OR

Legal business name

NANCY K DOUGHERTY MDPC

Practice address

10101 SE Main St
Ste 1004
Portland, OR 97216

Phone

(503) 255-0109

Fax

(503) 255-0540

NPI assigned

Sep 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Kathleen Dougherty, MD

Title

Ceo President

Phone

(503) 255-0109

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1124213038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "STE 1004",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-255-0109",
            "fax_number": "503-255-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "STE 1004",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-255-0109",
            "fax_number": "503-255-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY K DOUGHERTY MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "503-255-0109",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Louise Nance, ADULT NP
• Sarah Christine Nance
• Zackery David Nance, DPM
• Nancy Borman, D.O., PC
• Nancy Curosh, MD, PC
• Nancy Kahaner DO PC
• Nancy Ledbetter RN, CNS, Apng, Aocns
• Nancy Wood
• Nancy Yen Shipley MD LLC
• Reena Nandihalli, DO

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.