DOMINIQUE ALLEN BAILEY

PORTLAND, OR
NPI1306618731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-10-30
Last Update Date2023-10-30
Business Address
DOMINIQUE ALLEN BAILEY
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
Mailing Address
DOMINIQUE ALLEN BAILEY
3250 NE MARTIN LUTHER KING JR BLVD APT 110
PORTLAND, OR 97212-2273
Phone number:
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