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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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