- Practice location
- 12442 SW Scholls Ferry RD, Suite 205, Tigard, OR 97223-0804
- Phone
- 503-216-9140
- Fax
- 503-216-9145
- Last updated
- October 13, 2020
Sandra Ana Antonovic is a Pediatrics based in Tigard, OR. Sandra Ana Antonovic practices in Tigard, OR and has the professional credentials of MD. The NPI Number for Sandra Ana Antonovic is 1184773319 and holds a License No. MD23792 (OR). The current practice location address for Sandra Ana Antonovic is 12442 SW Scholls Ferry RD, Suite 205, Tigard, OR 97223-0804 and can be reached out via phone at 503-216-9140 and via fax at 503-216-9145.
Provider Profile Details
- NPI Number
- 1184773319
- Provider Name
- Sandra Ana Antonovic
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12442 SW Scholls Ferry RD, Suite 205, Tigard, OR 97223-0804
- Phone Number
- 503-216-9140
- Fax Number
- 503-216-9145
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 9, 2007
- Last Update Date
- October 13, 2020
- Certification Date
- October 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12442 SW Scholls Ferry RD
Suite 205
Tigard, OR 97223-0804 - City
- Tigard
- State
- Oregon
- Zip
- 97223-0804
- Phone Number
- 503-216-9140
- Fax Number
- 503-216-9145
Provider Business Mailing Address Details
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- Zip
- 97208-3158
License Information
- License Number
- MD23792
- License State
- OR
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Tigard, OR
View all Pediatrics providers in Tigard →Frequently Asked Questions
What is the NPI number of Dr. Sandra A Antonovic, MD?
The NPI number of Dr. Sandra A Antonovic, MD is 1184773319. It was assigned on January 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Sandra A Antonovic, MD?
Dr. Sandra A Antonovic, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in OR under license number MD23792.
Where does Dr. Sandra A Antonovic, MD practice?
The practice location is 12442 SW Scholls Ferry RD, Suite 205, Tigard, OR 97223-0804. The office can be reached at 503-216-9140 (phone) or 503-216-9145 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184773319 directly on the NPPES registry website.