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LEONARDO DANIEL DOMINGUEZ
NPI 1811565203
Student in an Organized Health Care Education/Training Program in Forest Grove, OR

Active since June 14, 2021
2043 COLLEGE WAY, FOREST GROVE, OR 97116(503) 352-6151 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leonardo Daniel Dominguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARDO DANIEL DOMINGUEZ (NPI 1811565203) is an individual student in an organized health care education/training program in Forest Grove, Oregon and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1811565203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLEONARDO DANIEL DOMINGUEZ
Location Address2043 COLLEGE WAYForest Grove, OR 97116-1756
Mailing Address1114 Nw 92nd AvePortland, OR 97229-5339
Phone(503) 352-6151
Sole ProprietorYes
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1811565203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
2043 COLLEGE WAY, Forest Grove, OR 97116
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTIE DU
Student in an Organized Health Care Education/Training Program
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 419-7884
BALVIR SINGH PHARMD
Pharmacist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (916) 776-0404
SETH OSTROWSKI
Physician Assistant
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
ABIGAIL CARPENTER
Specialist/Technologist (Athletic Trainer)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
TINA DIEM VUONG
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
DR. KELVIN KIU WING SO O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 880-1381
DR. BETH TOSHIKO KINOSHITA O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-3140
DR. SHANNON CATHLEEN LUTZ O.D.
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-2208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonardo Dominguez's NPI number?

The NPI number for Leonardo Dominguez is 1811565203. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Leonardo Dominguez located?

Leonardo Dominguez practices at 2043 College Way, Forest Grove, OR 97116. The listed phone number is (503) 352-6151.

What is Leonardo Dominguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Leonardo Dominguez was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.