Timothy Robert Dominick in Tualatin - Orthopedic
Timothy Robert Dominick - NPI 1356342661
Timothy Robert Dominick is a Orthopedic in Tualatin, Oregon. Timothy Robert Dominick practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Timothy Robert Dominick is 1356342661. The last update date is 2016-10-17.
Timothy Robert Dominick's current location address is 7616 Sw Mohawk St, Tualatin, Oregon. You can contact this provider via phone number 5033791525 and fax number 5035757150. The mailing address for Timothy Robert Dominick is 7616 Sw Mohawk St, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Robert Dominick |
|---|---|
| Address | 7616 Sw Mohawk St, Tualatin, Oregon |
| Phone Number | 5033791525 |
| Fax Number | 5035757150 |
| Sole Proprietor | Y |
| Credentials | D.P.T., O. |
NPI Number Detail
| NPI Number | 1356342661 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2016-10-17 |
Provider Mailing Address Detail
| Address | 7616 Sw Mohawk St |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970628121 |
| Phone Number | 5033791525 |
| Fax Number | 5035757150 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 5149 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5628499 | CA | FIRST HEALTH | |
| ZZZ01897Z | CA | BLUE SHIELD |
Post Comment/ Review Below
Could you provide the complete physical address where Timothy Robert Dominick is located?
The Timothy Robert Dominick is situated at the following address: 7616 Sw Mohawk St, Tualatin, OR, 970628121.
What is Timothy Robert Dominick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Robert Dominick's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
On what date did Timothy Robert Dominick receive its 1356342661 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Robert Dominick was assigned its 1356342661 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1356342661 to Timothy Robert Dominick?
The Centers for Medicare & Medicaid Services assigned the 1356342661 to Timothy Robert Dominick on 2005-08-09.
When was the information related to Timothy Robert Dominick most recently updated or refreshed?
The details pertaining to the Timothy Robert Dominick, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-10-17.