Individual
OMAR DOMINGUEZ PASCASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(503) 446-0029
Mailing address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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