Individual ProviderDominique Marie KraushaarSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157(360) 567-2211(503) 473-1537PECOS EnrollmentBased on the most recent information from CMS, provider Dominique Marie Kraushaar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407348980Provider TypeIndividualFull NameKraushaar, Dominique MarieGenderFemaleSole ProprietorYesEnumeration Date5/31/2018Last Updated5/31/2018Contact InformationPractice LocationPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157Phone(360) 567-2211FaxUnlisted FaxMailing LocationMailing Address9604 NE 73rd Cir, Vancouver, WA 98662-3921Phone(503) 473-1537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer