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Dominique Kristine Renyer, BA
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1831407204

Dominique Kristine Renyer is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Dominique Kristine Renyer practices in Portland, OR and has the professional credentials of BA. The NPI Number for Dominique Kristine Renyer is 1831407204 and holds a License No. (Oregon).

The current practice location address for Dominique Kristine Renyer is 1027 E Burnside St, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8407.

Location: 1027 E Burnside St, Portland, OR, 97216
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Provider Profile Details
NPI Number
1831407204
Provider Name
Dominique Kristine Renyer
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
1027 E Burnside St, Portland, OR, 97216
Phone Number
503-239-8400
Fax Number
503-239-8407
Provider Enumeration Date
09/20/2010
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
1027 E Burnside St
City
State
Zip
97214
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider Business Mailing Address Details
Address
1027 E Burnside St
City
State
Zip
97214
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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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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