Individual
BARBARA JOAN DORNBLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT INTERN
Contact information
Practice address
11845 SW GREENBURG RD STE 210, TIGARD, OR 97223-6464
(971) 864-0952
(971) 266-4521
Mailing address
901 N BRUTSCHER ST # D141, NEWBERG, OR 97132-6096
(718) 640-9529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
12/01/2014
Last updated
01/03/2025
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