IndividualActive
Antonio Dominovic, R.T.(R)(CT)(ARRT)
NPI 1922730803 · Radiography Radiologic Technologist · Portland, OR
Provider details
- NPI number
- 1922730803
- Entity type
- Individual
- Primary specialty
- Radiography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T.(R)(CT)(ARRT)
- Sex
- Male
- Sole proprietor
- No
- License
- 60899550 (WA)
Practice location
17744 Ne San Rafael St
Portland, OR 97230-5927
Phone: (800) 638-3240
Mailing address
3414 Se 144th Ave
Portland, OR 97236-2709
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.