Individual
DR. DOMINIQUE MARGUERITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 BOTTICELLI ST., LAKE OSEWGO, OR 97035-1306
(503) 699-1664
Mailing address
PO BOX 1155, LAKE OSWEGO, OR 97035-1306
(503) 699-1664
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1241
OR
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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