IndividualActive
Anthony Domenigoni, D.P.M.
NPI 1124137187 · Foot & Ankle Surgery Podiatrist · Vancouver, WA
Provider details
- NPI number
- 1124137187
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO00000777 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
203 Se Park Plaza Dr
Vancouver, WA 98684-5886
Phone: (360) 449-7040
Approximate (ZIP-level) locationGet directions
Mailing address
15023 Se Pebble Beach Dr
Happy Valley, OR 97086-7330
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.