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Dominique Page Dubois, MSW
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1477854073

Dominique Page Dubois is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Dominique Page Dubois practices in Portland, OR and has the professional credentials of MSW. The NPI Number for Dominique Page Dubois is 1477854073 and holds a License No. (Oregon).

The current practice location address for Dominique Page Dubois is 12790 Se Stark St, Portland, OR and can be reached out via phone at 503-328-1512 and via fax at 503-238-2436.

Location: 12790 Se Stark St, Portland, OR, 97233-1552
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Provider Profile Details
NPI Number
1477854073
Provider Name
Dominique Page Dubois
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
12790 Se Stark St, Portland, OR, 97233-1552
Phone Number
503-328-1512
Fax Number
503-238-2436
Provider Enumeration Date
11/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123190 05 OR
institution
Provider Business Practice Location Address Details
Address
12790 Se Stark St
City
State
Zip
97233-1552
Phone Number
503-328-1512
Fax Number
503-238-2436
person
Provider Business Mailing Address Details
Address
12790 Se Stark St
City
State
Zip
97233-1552
Phone Number
503-328-1512
Fax Number
503-238-2436
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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