Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Dominovic, RTRCTARRT

Individual provider Radiologic Technologist · NPI 1922730803

Antonio Dominovic, RTRCTARRT is a Radiologic Technologist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2022.

Licensed in
OR, WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

17744 NE San Rafael St
Portland, OR 97230-5927
Phone: (800) 638-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence 917283 (OR)
Radiologic Technologist Taxonomy 247100000X · Licence 60899550 (WA)

Record details

NPI number1922730803
Entity typeIndividual (Type 1)
GenderMale
Credentials RTRCTARRT
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address3414 Se 144th Ave, Portland, OR 97236-2709

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