Search › Oregon › 1041C0700X
Dominique Dubois, LCSW
NPI 1477854073 · on the registry since 2010
Practice
- Address
- 12790 Se Stark St
Portland, OR 97233 - Phone
- (503) 328-1512
- Fax
- (503) 238-2436
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon