Dominick, Timothy Robert

Dominick, Timothy Robert is an sole proprietor health care provider with primary practice located at 16770 Sw Edy Rd Ste 310 , Sherwood OR 97140-9679. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dominick, Timothy Robert can be contacted via phone (503) 216-9731.

Contact Information

Primary practice address
16770 Sw Edy Rd Ste 310 Sherwood OR 97140-9679
Phone: (503) 216-9731
Fax: (503) 216-9732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26238 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5149 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5149 Oregon

Profile Details

NPI number 1356342661
LBN Legal business name Dominick, Timothy Robert
Credentials D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Aug 6th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356342661 NPPES
California Other 5628499 FIRST HEALTH
California Other ZZZ01897Z FIRST HEALTH

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