Individual provider · Type 1 NPI

Dominique Hall

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1164811337 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Call (503) 535-1150 Map

Mailing address

PO Box 3007
Portland, OR 97208-3007

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164811337

Dominique Hall's National Provider Identifier is 1164811337, issued on Jan 12, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 12, 2015.