What is Kenneth Dougherty's NPI number?

Kenneth Dougherty's National Provider Identifier (NPI) is 1194234096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Dougherty's specialty?

Kenneth Dougherty is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Kenneth Dougherty located?

Kenneth Dougherty's practice location on file with NPPES is 12540 Sw Main St Ste 202, Tigard, OR 97223-6198.

What is Kenneth Dougherty's phone number?

The practice phone number listed in the NPPES registry for Kenneth Dougherty is (503) 906-9995.

Is Kenneth Dougherty's NPI active?

Yes — Kenneth Dougherty's NPI (1194234096) is active in the NPPES registry as of the last update on 2025-09-30.

IndividualActive

Kenneth Dougherty, CRM, QMHA-I

NPI 1194234096 · Peer Specialist · Tigard, OR

Kenneth Dougherty, CRM, QMHA-I is a Peer Specialist provider in Tigard, OR (NPI 1194234096).

Provider details

NPI number: 1194234096
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: CRM, QMHA-I
Sex: Male
Sole proprietor: Yes
License: 25-CRM-4553 (OR)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 25-CRM-4553 (OR)
Other Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12540 Sw Main St Ste 202

Tigard, OR 97223-6198

Phone: (503) 906-9995

Street-level locationGet directions

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Mailing address