KEN ALLEN DOUGHERTY

TIGARD, OR
NPI1194234096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-09-22
Last Update Date2017-09-22
Business Address
KEN ALLEN DOUGHERTY
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
KEN ALLEN DOUGHERTY
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number:
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