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Dr. Dominique Camille Fontenette, MD
Emergency Medical Services (Emergency Medicine) Physician in Ontario, Oregon
NPI 1356549992

Dominique Camille Fontenette is a Emergency Medical Services (Emergency Medicine) Physician based in Seattle, OR and is specialized in Emergency Medical Services. Dominique Camille Fontenette practices in Ontario, OR and has the professional credentials of MD. The NPI Number for Dominique Camille Fontenette is 1356549992 and holds a License No. (Oregon).

The current practice location address for Dominique Camille Fontenette is 351 Sw 9Th St, Ontario, OR and can be reached out via phone at 541-881-7000.

Location: 351 Sw 9Th St, Ontario, OR, 98122-6223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356549992
Provider Name
Dominique Camille Fontenette
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
351 Sw 9Th St, Ontario, OR, 98122-6223
Phone Number
541-881-7000
Fax Number
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110086500A 05 MA
AA186492 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
351 Sw 9Th St
City
Ontario
State
Oregon
Zip
97914-2639
Phone Number
541-881-7000
Fax Number
person
Provider Business Mailing Address Details
Address
351 Sw 9Th St
City
Ontario
State
Oregon
Zip
97914-2639
Phone Number
541-881-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
243657 (Massachusetts)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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