BRIAN KEITH DOMINICCI

TIGARD, OR
NPI1568195147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201909621LPN)
Enumeration Date2022-07-01
Last Update Date2022-07-01
Business Address
BRIAN KEITH DOMINICCI LPN
7320 SW HUNZIKER RD STE 300
TIGARD, OR 97223-2302
Phone number: 503-941-3077
Mailing Address
BRIAN KEITH DOMINICCI LPN
7320 SW HUNZIKER RD STE 300
TIGARD, OR 97223-2302
Phone number: 503-941-3077