Leonardo Daniel Dominguez is a student in an organized health care education training program in Forest Grove, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Leonardo Daniel Dominguez NPI is 1811565203. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2043 COLLEGE WAY
FOREST GROVE, OR
ZIP 97116-756
Phone: (503) 352-6151
The enumeration date for this NPI number is 6/14/2021 and was last updated on 6/14/2021.