Cotherman, Dominique Marie
Cotherman, Dominique Marie is an individual health care provider with primary practice located at 1059 Nw Madras Hwy , Prineville OR 97754-1416. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cotherman, Dominique Marie can be contacted via phone (541) 213-1315.Contact Information
Primary practice address
1059 Nw Madras Hwy
Prineville OR 97754-1416
Phone: (541) 213-1315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
| NPI number | 1831883909 |
|---|---|
| LBN Legal business name | Cotherman, Dominique Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2023 |
| Last updated | Jun 2nd, 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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