Marguerite, Dominique
Marguerite, Dominique is an sole proprietor health care provider with primary practice located at 22 Botticelli St. , Lake Osewgo OR 97035-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Marguerite, Dominique can be contacted via phone (503) 699-1664.Contact Information
Primary practice address
22 Botticelli St.
Lake Osewgo OR 97035-1306
Phone: (503) 699-1664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1241 | Oregon |
Profile Details
| NPI number | 1205992708 |
|---|---|
| LBN Legal business name | Marguerite, Dominique |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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