Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Laura Desiree Dougherty, PA

Individual provider Medical Physician Assistant · NPI 1316913387

Mrs. Laura Desiree Dougherty, PA is a Physician Assistant in Clackamas, Oregon. Qualified in 2005, 21 years ago. Practices with Clackamas Dermatology PC, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9775 SE Sunnyside Rd Ste 500
Clackamas, OR 97015-5724
Phone: (503) 654-7546
Fax: (503) 786-3542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19988 (CA)

Record details

NPI number1316913387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Clackamas Dermatology Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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