Leonardo Daniel Dominguez
Leonardo Daniel Dominguez is a Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2043 College WayForest Grove, OR 97116-1756
Phone: (503) 352-6151
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1811565203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2021 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
| Mailing address | 1114 Nw 92nd Ave, Portland, OR 97229-5339 |
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Natasha Chrenek
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Jobe Hoang Dinh
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2043 College Way, Forest Grove, OR 97116-1756 · (503) 352-2020
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