Individual
DR. DOMINIC CIVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10201 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 850-4762
Mailing address
2005 N WILLIAMS AVE APT 437, PORTLAND, OR 97227-2055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6268
OR
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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