IndividualActive
Dominic Patillo, MD
NPI 1275649162 · Orthopaedic Hand Surgery Physician · Lake Oswego, OR
Provider details
- NPI number
- 1275649162
- Entity type
- Individual
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD151644 (OR)
Practice location
17355 Lower Boones Ferry Rd
Ste 100a
Lake Oswego, OR 97035-2839
Phone: (503) 256-5866
Fax: (503) 254-0656
Mailing address
17355 Lower Boones Ferry Rd
Lake Oswego, OR 97035-2839
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.