Dominger, Erik Jon
Dominger, Erik Jon is an individual health care provider with primary practice located at 1215 Sw G. Street , Grants Pass OR 97526-2544. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Dominger, Erik Jon can be contacted via phone (541) 476-2373.Contact Information
Primary practice address
1215 Sw G. Street
Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 476-1526
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Nursing Service Providers / Registered Nurse | 163W00000X | 201502991RN | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202204953NP-PP | Oregon |
Profile Details
NPI number | 1396114955 |
---|---|
LBN Legal business name | Dominger, Erik Jon |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2015 |
Last updated | May 2nd, 2022 - 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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