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Dominique Marie Cotherman
Peer Specialist in Prineville, Oregon
NPI 1831883909

Dominique Marie Cotherman is a Peer Specialist based in Prineville, OR. Dominique Marie Cotherman practices in Prineville, OR. The NPI Number for Dominique Marie Cotherman is 1831883909 and holds a License No. (Oregon).

The current practice location address for Dominique Marie Cotherman is 1059 Nw Madras Hwy, Prineville, OR and can be reached out via phone at 541-213-1315.

Location: 1059 Nw Madras Hwy, Prineville, OR, 97754-1416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831883909
Provider Name
Dominique Marie Cotherman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1059 Nw Madras Hwy, Prineville, OR, 97754-1416
Phone Number
541-213-1315
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1059 Nw Madras Hwy
City
Prineville
State
Oregon
Zip
97754-1416
Phone Number
541-213-1315
Fax Number
person
Provider Business Mailing Address Details
Address
1059 Nw Madras Hwy
City
Prineville
State
Oregon
Zip
97754-1416
Phone Number
541-213-1315
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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