Kenneth Allen Dougherty , CRM, QMHA-I
Peer Specialist • Tigard, OR
Professional Overview & Biography Verified Profile Summary
Kenneth Dougherty, CRM, QMHA-I is a registered healthcare professional specializing in Peer Specialist in Tigard, OR. Practice services are available at 12540 SW MAIN ST STE 202 under active NPI credentials.
Practice Location & Contact Primary Location
12540 Sw Main St Ste 202
Tigard, OR 972236198
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Tigard, OR
Practicing in Tigard, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-09-30NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
CADC1
Peer Specialist
Peer Specialist
Peer Specialist
Peer Specialist
Nurse Practitioner - Adult Health
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 12540 SW MAIN ST STE 202, TIGARD, OR 972236198 (Tel: 5039069995)
Registered at 12540 SW MAIN ST STE 202, TIGARD, OR 972236198 (Tel: 5039069995)
Recorded as KENNETH DOUGHERTY, CRM, QMHA-I
Peer Specialist (License #25-CRM-4553 in OR)
NPI status registered as active in NPPES database
Registered at 8915 SW CENTER ST, TIGARD, OR 972236307 (Tel: 5037263690)
Registered at 8915 SW CENTER ST, TIGARD, OR 972236307
Recorded as KEN DOUGHERTY
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12540 Sw Main St Ste 202
Tigard, OR 972236198
Phone: 5039069995
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