Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic Joseph Rubino III, PA

Individual provider Medical Physician Assistant · NPI 1568087534

Dominic Joseph Rubino III, PA is a Physician Assistant in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Pdx Allergy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone: (503) 660-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA217556 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA217556 (OR)

Record details

NPI number1568087534
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pdx Allergy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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