Individual provider · Type 1 NPI

Dominique Kristine Renyer, BA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1831407204 Active

Practice location

1027 E Burnside St
Portland, OR 97214

Call (503) 239-8400 Map

Fax (503) 239-8407

Mailing address

1027 E Burnside St
Portland, OR 97216

Other practice locations

  • 58646 Mcnulty Way, St. Helens, OR 97051-6210 · (503) 397-5211
  • 1027 E Burnside St, Portland, OR 97214-1328 · (503) 239-8400
  • 58646 Mcnulty Way, St. Helens, OR 97051-6210 · (503) 397-5211

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1831407204

Dominique Kristine Renyer, BA's National Provider Identifier is 1831407204, issued on Sep 20, 2010. 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 Jun 5, 2018.