NPI 1255713657

Dominique Lee Hargrove, CNACMA

Practitioner Nurse's Aide Portland, OR

Practice location

Address: 3415 SE Powell Blvd, Portland, OR 97202-3371
Phone: (503) 234-9591

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 200910567CNA (OR)

Other Nurse's Aide providers in Oregon →

Registry record

NPI: 1255713657
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2015
Record last updated: 22 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.