Dominique Dakeem Gray
Dominique Dakeem Gray is a Peer Specialist in Bend, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
63311 Jamison StBend, OR 97703-8288
Phone: (541) 585-7210
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1336963073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 11, 2024 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 10, 2024 |
| Mailing address | 2577 Ne Courtney Drive, Bend, OR 97701-7638 |
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