DOMINIQUE HALL

PORTLAND, OR
NPI1164811337
Former NameDOMINIQUE REESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
-- DOMINIQUE HALL
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1150
Mailing Address
-- DOMINIQUE HALL
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1181
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