Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH ALLEN DOUGHERTY, CRM, QMHA-I
Active Sole ProprietorKENNETH ALLEN DOUGHERTY, CRM, QMHA-I is a Peer Specialist healthcare provider located in TIGARD, Oregon. NPI 1194234096 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · TIGARD, OR
Registration Details
- NPI Number
- 1194234096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2017 (8.8668700727701 yrs)
- Last Updated
- Sep 30, 2025
- License
-
25-CRM-4553 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12540 SW MAIN ST STE 202TIGARD, OR, 972236198Browse OR providers · Browse ZIP 97223
- Phone
- 5039069995
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| JOHN LYLE PFEIFFER | — | 1821424326 |
| MYKEL EVAN KNIGHT | — | 1184023145 |
| LEON MCCOY | — | 1154708667 |
| FLETCHER NASH | CRM,THW | 1003319765 |
| HOLLY BLALACK | — | 1942778139 |
| MELISSA LONG | — | 1902364755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.