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Leonardo Daniel Dominguez
Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon
NPI 1811565203

Leonardo Daniel Dominguez is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Leonardo Daniel Dominguez practices in Forest Grove, OR. The NPI Number for Leonardo Daniel Dominguez is 1811565203 and holds a License No. (Oregon).

The current practice location address for Leonardo Daniel Dominguez is 2043 College Way, Forest Grove, OR and can be reached out via phone at 503-352-6151.

Location: 2043 College Way, Forest Grove, OR, 97229-5339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811565203
Provider Name
Leonardo Daniel Dominguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2043 College Way, Forest Grove, OR, 97229-5339
Phone Number
503-352-6151
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
503-352-6151
Fax Number
person
Provider Business Mailing Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
503-352-6151
Fax Number
person
Provider's Taxonomy Details 1
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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