Dominique Marie Cotherman
NPI #1831883909 in Prineville, Oregon
Provider Information
- NPI Number
- 1831883909
- Entity Type
- Individual
- Name
- Dominique Marie Cotherman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jun 2, 2023
- Last Updated
- Jun 2, 2023
Practice Location
- Address
- 1059 NW MADRAS HWY
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1416
- Phone
- (541) 213-1315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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