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Jonathan Dominguez, LCSW
Mental Health Counselor in Tigard, Oregon
NPI 1487279923

Jonathan Dominguez is a Mental Health Counselor based in Gladstone, OR and is specialized in Mental Health. Jonathan Dominguez practices in Tigard, OR and has the professional credentials of LCSW. The NPI Number for Jonathan Dominguez is 1487279923 and holds a License No. (Oregon).

The current practice location address for Jonathan Dominguez is 11740 Sw 68Th Pkwy Ste 200, Tigard, OR and can be reached out via phone at 503-597-8393.

Location: 11740 Sw 68Th Pkwy Ste 200, Tigard, OR, 97027-2059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 97027-2059
Phone Number
503-597-8393
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11740 Sw 68Th Pkwy Ste 200
City
Tigard
State
Oregon
Zip
97223-9058
Phone Number
503-597-8393
Fax Number
person
Provider Business Mailing Address Details
Address
11740 Sw 68Th Pkwy Ste 200
City
Tigard
State
Oregon
Zip
97223-9058
Phone Number
503-597-8393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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