Individual provider · Type 1 NPI

Mari Patricia Dominguez, NP-C

Psychiatric/Mental Health Nurse Practitioner · La Grande, OR

NPI number 1265197040 Active

Practice location

2301 Cove Ave
La Grande, OR 97850-3906

Fax (541) 963-5272

Other practice locations

  • 105 Fir St Ste 327, La Grande, OR 97850-2663 · (541) 246-3638

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202111998NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1265197040

Mari Patricia Dominguez, NP-C's National Provider Identifier is 1265197040, issued on Nov 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Grande, OR. The record was last updated on Sep 24, 2026.