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

Miss. Dominique Derosa, RNBSN

Individual provider Registered Nurse · NPI 1871011361

Miss. Dominique Derosa, RNBSN is a Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone: (503) 645-3581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 201392570RN (OR)

Record details

NPI number1871011361
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESSeptember 5, 2017

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