Diana S Domnitei MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD155672 Issued in OR

Legal business name

DIANA S DOMNITEI MD LLC

Practice address

1012 SW King Ave Ste 306
Portland, OR 97205-1110

Phone

(503) 467-8763

NPI assigned

Nov 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Sidonia Domnitei, MD

Title

Member

Phone

(503) 467-8763

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478390400000",
    "number": "1538601737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SW KING AVE STE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SW KING AVE STE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051110",
            "telephone_number": "503-467-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA S DOMNITEI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-06",
        "last_updated": "2016-11-06",
        "status": "A",
        "authorized_official_last_name": "DOMNITEI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "SIDONIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-467-8763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD155672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639361868",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Diamond
• Sarah Diamond, MD
• Zachary Diamond, LMT
• Dian'S Well Counseling LLC
• Diana Crane Counseling
• Alison Kelso Diana, LCSW
• Emily Flynn Diana, MS, RD
• Diane F. Whitney, M. D., P. C.
• Dianne D Applegate DDS LLC
• Dianne Pernetti LMT LLC

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.