person
Antonio Dominovic, RT(R)(CT)(ARRT)
Radiography Radiologic Technologist in Portland, Oregon
NPI 1922730803

Antonio Dominovic is a Radiography Radiologic Technologist based in Portland, OR and is specialized in Radiography. Antonio Dominovic practices in Portland, OR and has the professional credentials of RT(R)(CT)(ARRT). The NPI Number for Antonio Dominovic is 1922730803 and holds a License No. 60899550 (Oregon).

The current practice location address for Antonio Dominovic is 17744 Ne San Rafael St, Portland, OR and can be reached out via phone at 800-638-3240.

Location: 17744 Ne San Rafael St, Portland, OR, 97236-2709
person
Provider Profile Details
NPI Number
1922730803
Provider Name
Antonio Dominovic
Credential
RT(R)(CT)(ARRT)
Provider Entity Type
Individual
Gender
Male
Address
17744 Ne San Rafael St, Portland, OR, 97236-2709
Phone Number
800-638-3240
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17744 Ne San Rafael St
City
State
Zip
97230-5927
Phone Number
800-638-3240
Fax Number
person
Provider Business Mailing Address Details
Address
17744 Ne San Rafael St
City
State
Zip
97230-5927
Phone Number
800-638-3240
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
917283 (Oregon)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
60899550 (Washington)
Definition
Definition to come...
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