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1831950245
STEPHEN DOUGHERTY
BEAVERTON, OR
NPI
1831950245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
STEPHEN DOUGHERTY MSc
14355 SW ALLEN BLVD STE 150
BEAVERTON, OR 97005-4741
Phone number: 503-673-8702
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Mailing Address
STEPHEN DOUGHERTY MSc
105 SE 30TH AVE
PORTLAND, OR 97214-1904
Phone number: 971-295-3786
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