IndividualActive
Dominique Hargrove, CNA/CMA
NPI 1255713657 · Nurse's Aide · Portland, OR
Provider details
- NPI number
- 1255713657
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA/CMA
- Sex
- Female
- Sole proprietor
- No
- License
- 200910567CNA (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3415 Se Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.