Individual
DOMINICK DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 348-0346
Mailing address
7736 N PRINCETON ST, PORTLAND, OR 97203-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041402049
IL
163W00000X
Registered Nurse
Primary
201407695RN
OR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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