Allen, Dominick Charles

Allen, Dominick Charles is an sole proprietor health care provider with primary practice located at 4212 Se Division St Ste 100 , Portland OR 97206-1680. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Allen, Dominick Charles can be contacted via phone (503) 238-0705.

Contact Information

Primary practice address
4212 Se Division St Ste 100 Portland OR 97206-1680
Phone: (503) 238-0705
Fax: (503) 236-7166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1205267838
LBN Legal business name Allen, Dominick Charles
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2013
Last updated Jun 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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