Brian Keith Dominicci, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201909621LPN Issued in OR

Practice address

7320 SW Hunziker Rd Ste 300
Tigard, OR 97223-2302

Phone

(503) 941-3077

NPI assigned

Jul 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1568195147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28530 SW Villebois Dr N",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970707271",
            "country_code": "US",
            "telephone_number": "206-401-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINICCI",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201909621LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Dodson
• Dawna Marie Doering
• Aiaa Doghda, PHARMACIST
• Chelsey Lee Dolence, BS
• Jonathan Dominguez, LCSW
• Maia Donahue
• Christina Donaldson
• Steven Michael Donaldson, L.P.C.
• Xiangjun Dong, LAC
• Rayna Donnelly, PA-C

• Licensed Practical Nurse in Tigard, OR
• Providers in Tigard, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.