NICHOLAS DOMENICHINI

PORTLAND, OR
NPI1548975592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW00108066)
Enumeration Date2023-01-13
Last Update Date2023-01-13
Business Address
NICHOLAS DOMENICHINI PSS
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-437-5900
Mailing Address
NICHOLAS DOMENICHINI PSS
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-437-5900
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NEURODIVERGENT PEER SUPPORT LLC