Individual
JARED DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
8285 SW NIMBUS AVE STE 130, BEAVERTON, OR 97008-6428
(503) 610-2044
Mailing address
8285 SW NIMBUS AVE STE 130, BEAVERTON, OR 97008-6428
(503) 610-2044
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2309
OR
Other
Enumeration date
09/18/2019
Last updated
08/16/2023
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