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KARLA AYDE DOMINGUEZ PEER SUPPORT
NPI 1740044395
Peer Specialist in Boardman, OR

Active since February 13, 2024
104 SW KINKADE RD, BOARDMAN, OR 97818(541) 481-2911(541) 481-2006 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karla Ayde Dominguez Peer Support NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARLA AYDE DOMINGUEZ PEER SUPPORT (NPI 1740044395) is an individual peer specialist in Boardman, Oregon and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1740044395
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKARLA AYDE DOMINGUEZCredential: PEER SUPPORT
Location Address104 SW KINKADE RDBoardman, OR 97818
Mailing AddressPo Box 469Heppner, OR 97836-0469 · (541) 676-9161 · Fax (541) 676-5662
Phone(541) 481-2911
Fax(541) 481-2006
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1740044395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
104 SW KINKADE RD, Boardman, OR 97818
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE ADAMS
Counselor (Mental Health)
104 SW KINKADE RD
BOARDMAN, OR 97818
Morrow County (541) 481-2911
ERIN ELIZABETH REYES EARLEY QMHA
Counselor (Mental Health)
104 SW KINKADE RD
BOARDMAN, OR 97818
Morrow County (541) 481-2911
KYMBERLI DAWN MILLS MS, QMHP, LPC
Counselor (Professional)
104 SW KINKADE RD
BOARDMAN, OR 97818
Morrow County (541) 481-2911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karla Dominguez's NPI number?

The NPI number for Karla Dominguez is 1740044395. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Karla Dominguez located?

Karla Dominguez practices at 104 SW Kinkade Rd, Boardman, OR 97818. The listed phone number is (541) 481-2911.

What is Karla Dominguez's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Karla Dominguez was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.