Dominique Page Dubois, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Dominique Page Dubois is licensed to practice in Oregon (license number L6771) and her current practice location is
12790 Se Stark St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 328-1512.
NPI number for Dominique Page Dubois is 1477854073 and her current mailing address is 6420 S Macadam Ave Ste 330, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477854073.
Healthcare Provider's Profile
Full Name | Dominique Page Dubois |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 12790 Se Stark St, Portland, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477854073
- Provider Enumeration Date: 11/12/2010
- Last Update Date: 12/09/2024
Medical Identifiers
Medical identifiers for Dominique Page Dubois such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477854073 | NPI | - | NPPES |
123190 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L6771 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Page Dubois is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Page Dubois, LCSW 6420 S Macadam Ave Ste 330, Portland, OR 97239-3564 Ph: (503) 477-7878 | Dominique Page Dubois, LCSW 12790 Se Stark St, Portland, OR 97233-1552 Ph: (503) 328-1512 |
Reviews and Comments