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DOMINIC JOSEPH RUBINO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 660-4445
Mailing address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 660-4445

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217556
OR
363AM0700X
Medical Physician Assistant
PA217556
OR

Other

Enumeration date
06/15/2020
Last updated
06/24/2024
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