Nicholas Domenichini, PSS - Portland, OR

Nicholas Domenichini, PSS

Peer Specialist in Portland, Oregon

NPI 1548975592

Nicholas Domenichini is a Peer Specialist based in Portland, OR. Nicholas Domenichini practices in Portland, OR and has the professional credentials of PSS. The NPI Number for Nicholas Domenichini is 1548975592 and holds a License No. THW00108066 (Oregon).

The current practice location address for Nicholas Domenichini is 6200 Se King Rd, Portland, OR and can be reached out via phone at 503-437-5900.

Location: 6200 Se King Rd, Portland, OR, 97222-2891

NPI Number

1548975592

Provider Name

Nicholas Domenichini

Credential

PSS

Provider Entity Type

Individual

Gender

Male

Address

6200 Se King Rd, Portland, OR, 97222-2891

Phone Number

503-437-5900

Fax Number

Provider Enumeration Date

01/13/2023

Last Update Date

03/10/2024

Address

6200 Se King Rd

City

Portland

State

Oregon

Zip

97222-2891

Phone Number

503-437-5900

Fax Number

Address

6200 Se King Rd

City

Portland

State

Oregon

Zip

97222-2891

Phone Number

503-437-5900

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW00108066 (Oregon)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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