NICHOLAS DOMENICHINI PSS NPI 1548975592

NPI Information

  • NPI: 1548975592
  • Provider Name: NICHOLAS DOMENICHINI, PSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 6200 SE KING RD
    PORTLAND, OR
    ZIP 97222
  • Phone: (503) 437-5900

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NPI Details

Nicholas Domenichini, PSS is a peer specialist in Portland, OR. The provider is 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. Nicholas Domenichini, PSS NPI is 1548975592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6200 SE KING RD
PORTLAND, OR
ZIP 97222-891
Phone: (503) 437-5900

The enumeration date for this NPI number is 1/13/2023 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistTHW00108066OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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