Individual
DOMINIC AMORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14626 SE POWELL BLVD APT 106, PORTLAND, OR 97236-2572
(971) 254-9600
(971) 254-9598
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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