Doctor Name: | MS. KARYN LOUISE DOHERTY |
NPI Number: | 1386918134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 8114 |
Business Practice Address: | 19360 Nw Cornell Rd Hillsboro, OR - 971249378 |
Business Phone Number: | 5036452950 |
Business Fax Number: | |
Mailing Address: | 415 S Edwards St, NEWBERG |
State: | OR |
Postal Code: | 971323413 |
Phone Number: | 5032659448 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2012 |
NPI Last Update Date: | 02/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |