Organization
DOMINIQUE MARGUERITE PHD PC
Active
Organization
DOMINIQUE MARGUERITE PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIQUE MARGUERITE PHD (PRESIDENT)
(503) 699-1664
Entity
Organization
Contact information
Practice address
22 BOTTICELLI STREET, LAKE OSWEGO, OR 97035-1306
(503) 699-1664
Mailing address
PO BOX 1155, LAKE OSWEGO, OR 97035-0506
(503) 699-1664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1241
OR
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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