Individual provider · Type 1 NPI

Nicholas Domenichini, PSS

Peer Specialist · Portland, OR

NPI number 1548975592 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 437-5900 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW00108066 (OR)

Peer Specialist: 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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About NPI 1548975592

Nicholas Domenichini, PSS's National Provider Identifier is 1548975592, issued on Jan 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 13, 2023.