Individual provider · Type 1 NPI
Dominique Camille Fontenette, MD
Emergency Medical Services (Emergency Medicine) Physician · Ontario, OR
Practice location
351 SW 9th St
Ontario, OR 97914-2639
Mailing address
311 30th Ave
Seattle, WA 98122-6223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 243657 (MA) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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About NPI 1356549992
Dominique Camille Fontenette, MD's National Provider Identifier is 1356549992, issued on Jul 5, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Ontario, OR. The record was last updated on Dec 10, 2014.