Individual
DR. DOMINIC PATRICK PATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17355 LOWER BOONES FERRY RD, STE 100A, LAKE OSWEGO, OR 97035-2839
(503) 256-5866
(503) 254-0656
Mailing address
17355 LOWER BOONES FERRY RD, STE 100A, LAKE OSWEGO, OR 97035-2839
(503) 256-5866
(503) 254-0656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD151644
OR
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD151644
OR
Other
Enumeration date
08/22/2006
Last updated
08/25/2025
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