Individual provider · Type 1 NPI

Antonio Dominovic, R.T.(R)(CT)(ARRT)

Radiography Radiologic Technologist · Portland, OR

NPI number 1922730803 Active

Practice location

17744 NE San Rafael St
Portland, OR 97230-5927

Mailing address

3414 SE 144th Ave
Portland, OR 97236-2709

Specialties and licenses

TaxonomyCodeLicense
Radiologic Technologist 247100000X60899550 (WA)
Radiography Radiologic Technologist Primary 2471C3402X917283 (OR)

Radiography Radiologic Technologist: A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

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About NPI 1922730803

Antonio Dominovic, R.T.(R)(CT)(ARRT)'s National Provider Identifier is 1922730803, issued on Jun 28, 2022. The primary taxonomy on file is Radiography Radiologic Technologist (2471C3402X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2022.