Dominovic, Antonio
Dominovic, Antonio is an individual health care provider with primary practice located at 17744 Ne San Rafael St , Portland OR 97230-5927. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Radiography. Technologists, Technicians & Other Technical Service Providers / Radiography is his primary health care specialty. Dominovic, Antonio can be contacted via phone (800) 638-3240.Contact Information
Primary practice address
17744 Ne San Rafael St
Portland OR 97230-5927
Phone: (800) 638-3240
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 60899550 | Washington |
Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | 917283 | Oregon |
Profile Details
NPI number | 1922730803 |
---|---|
LBN Legal business name | Dominovic, Antonio |
Credentials | R.T.(R)(CT)(ARRT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2022 |
Last updated | Jun 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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