Individual
KENNETH ALLEN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, QMHA-I
Contact information
Practice address
12540 SW MAIN ST STE 202, TIGARD, OR 97223-6198
(503) 906-9995
Mailing address
12540 SW MAIN ST STE 202, TIGARD, OR 97223-6198
(503) 906-9995
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4553
OR
Other
Enumeration date
09/22/2017
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us