KENNETH ALLEN DOUGHERTY

TIGARD, OR
NPI1194234096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  25-CRM-4553)
Enumeration Date2017-09-22
Last Update Date2025-09-30
Business Address
KENNETH ALLEN DOUGHERTY CRM, QMHA-I
12540 SW MAIN ST STE 202
TIGARD, OR 97223-6198
Phone number: 503-906-9995
Mailing Address
KENNETH ALLEN DOUGHERTY CRM, QMHA-I
12540 SW MAIN ST STE 202
TIGARD, OR 97223-6198
Phone number: 503-906-9995
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