- Practice location
- 7320 SW Hunziker RD Ste 300, Tigard, OR 97223-2302
- Phone
- 503-941-3077
- Fax
- —
- Last updated
- July 1, 2022
Brian Keith Dominicci is a Licensed Practical Nurse based in Tigard, OR. Brian Keith Dominicci practices in Tigard, OR and has the professional credentials of LPN. The NPI Number for Brian Keith Dominicci is 1568195147 and holds a License No. 201909621LPN (OR). The current practice location address for Brian Keith Dominicci is 7320 SW Hunziker RD Ste 300, Tigard, OR 97223-2302 and can be reached out via phone at 503-941-3077.
Provider Profile Details
- NPI Number
- 1568195147
- Provider Name
- Brian Keith Dominicci
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7320 SW Hunziker RD Ste 300, Tigard, OR 97223-2302
- Phone Number
- 503-941-3077
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 1, 2022
- Last Update Date
- July 1, 2022
- Certification Date
- July 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7320 SW Hunziker RD Ste 300
Tigard, OR 97223-2302 - City
- Tigard
- State
- Oregon
- Zip
- 97223-2302
- Phone Number
- 503-941-3077
Provider Business Mailing Address Details
- Address
- 7320 SW Hunziker RD Ste 300
Tigard, OR 97223-2302 - City
- Tigard
- State
- OR
- Zip
- 97223-2302
- Phone Number
- 503-941-3077
License Information
- License Number
- 201909621LPN
- License State
- OR
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brian K Dominicci, LPN?
The NPI number of Brian K Dominicci, LPN is 1568195147. It was assigned on July 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Brian K Dominicci, LPN?
Brian K Dominicci, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in OR under license number 201909621LPN.
Where does Brian K Dominicci, LPN practice?
The practice location is 7320 SW Hunziker RD Ste 300, Tigard, OR 97223-2302. The office can be reached at 503-941-3077 (phone).
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 1568195147 directly on the NPPES registry website.