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Search › Oregon › 2471C3402X

Antonio Dominovic, R.T.(R)(CT)(ARRT)

NPI 1922730803 · on the registry since 2022

Practice

Address
17744 Ne San Rafael St
Portland, OR 97230
Phone
(800) 638-3240
Organisation at this address
Kan-Di-Ki Llc
Kan-Di-Ki, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2471C3402X
2471C3402X
Also registered as
247100000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon