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Mari Dominguez, NP-C
Psychiatric/Mental Health Nurse Practitioner in La Grande, Oregon
NPI 1265197040

Mari Dominguez is a Psychiatric/Mental Health Nurse Practitioner based in La Grande, OR and is specialized in Psychiatric/Mental Health. Mari Dominguez practices in La Grande, OR and has the professional credentials of NP-C. The NPI Number for Mari Dominguez is 1265197040 and holds a License No. 202111998NP-PP (Oregon).

The current practice location address for Mari Dominguez is 506 Fourth St., La Grande, OR and can be reached out via phone at 541-663-3138.

Location: 506 Fourth St., La Grande, OR, 97850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265197040
Provider Name
Mari Dominguez
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
506 Fourth St., La Grande, OR, 97850
Phone Number
541-663-3138
Fax Number
Provider Enumeration Date
11/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
506 Fourth St.
City
La Grande
State
Oregon
Zip
97850
Phone Number
541-663-3138
Fax Number
person
Provider Business Mailing Address Details
Address
506 Fourth St.
City
La Grande
State
Oregon
Zip
97850
Phone Number
541-663-3138
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
202111998NP-PP (Oregon)
Definition
Definition to come...
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