- Practice location
- 11740 SW 68TH Pkwy Ste 200, Tigard, OR 97223-9058
- Phone
- 503-597-8393
- Fax
- —
- Last updated
- September 1, 2023
Jonathan Dominguez is a Counselor, Mental Health based in Tigard, OR. Jonathan Dominguez practices in Tigard, OR and has the professional credentials of LCSW. The NPI Number for Jonathan Dominguez is 1487279923. The current practice location address for Jonathan Dominguez is 11740 SW 68TH Pkwy Ste 200, Tigard, OR 97223-9058 and can be reached out via phone at 503-597-8393.
Provider Profile Details
- NPI Number
- 1487279923
- Provider Name
- Jonathan Dominguez
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11740 SW 68TH Pkwy Ste 200, Tigard, OR 97223-9058
- Phone Number
- 503-597-8393
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2020
- Last Update Date
- September 1, 2023
- Certification Date
- September 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058 - City
- Tigard
- State
- Oregon
- Zip
- 97223-9058
- Phone Number
- 503-597-8393
Provider Business Mailing Address Details
- Address
- 475 W Gloucester St
Gladstone, OR 97027-2059 - City
- Gladstone
- State
- OR
- Zip
- 97027-2059
- Phone Number
- 406-529-8100
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Tigard, OR
View all Counselor, Mental Health providers in Tigard →- Adam J CostaCounselor, Mental Health · NPI 1639765084
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adrian BacherCounselor, Mental Health · NPI 1437026614
- Adry S Clark, PHDCounselor, Mental Health · NPI 1861374258
- Afton L DaebneyCounselor, Mental Health · NPI 1063237717
Frequently Asked Questions
What is the NPI number of Jonathan Dominguez, LCSW?
The NPI number of Jonathan Dominguez, LCSW is 1487279923. It was assigned on June 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Jonathan Dominguez, LCSW?
Jonathan Dominguez, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jonathan Dominguez, LCSW practice?
The practice location is 11740 SW 68TH Pkwy Ste 200, Tigard, OR 97223-9058. The office can be reached at 503-597-8393 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487279923 directly on the NPPES registry website.