Individual
LEONILA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
12021 SE EASTBOURNE LN, HAPPY VALLEY, OR 97086-4671
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
201701877RN
OR
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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