Provider Demographics
NPI:1962501460
Name:DOUGHLY, NAJLA M (MD)
Entity Type:Individual
Prefix:
First Name:NAJLA
Middle Name:M
Last Name:DOUGHLY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3218 CEDRONA DR NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-3228
Mailing Address - Country:US
Mailing Address - Phone:360-491-5101
Mailing Address - Fax:360-493-5220
Practice Address - Street 1:3218 CEDRONA DR NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-3228
Practice Address - Country:US
Practice Address - Phone:360-491-5101
Practice Address - Fax:360-493-5220
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-03-30
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Provider Licenses
StateLicense IDTaxonomies
WAMD00042900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAI14192Medicare UPIN