Domingo, Samantha

Domingo, Samantha is an sole proprietor health care provider with primary practice located at 3521 Nw Samaritan Dr Ste 201 , Corvallis OR 97330-4744. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Domingo, Samantha can be contacted via phone (541) 768-5140.

Contact Information

Primary practice address
3521 Nw Samaritan Dr Ste 201 Corvallis OR 97330-4744
Phone: (541) 768-5140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2791 Oregon

Profile Details

NPI number 1013336510
LBN Legal business name Domingo, Samantha
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2014
Last updated Nov 6th, 2020 - about 4 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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