Individual provider · Type 1 NPI

Dominique Lee Hargrove, CNA/CMA

Nurse's Aide · Portland, OR

NPI number 1255713657 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X200910567CNA (OR)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1255713657

Dominique Lee Hargrove, CNA/CMA's National Provider Identifier is 1255713657, issued on Jun 22, 2015. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Portland, OR. The record was last updated on Jun 22, 2015.