Kimberly Kushner Dominguez

NPI #1053718411 in Mcminnville, Oregon

Provider Information

NPI Number: 1053718411
Entity Type: Individual
Name: Kimberly Kushner Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Dec 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 4375 NE RIVERSIDE LOOP
City: Mcminnville
State: Oregon
ZIP Code: 97128-8433
Phone: (484) 684-4765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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