Sandra Ana Antonovic, M.D.

Pediatrics Physician · Tigard, OR

Individual Active NPI

NPI number 1184773319

Practice location

12442 SW Scholls Ferry Rd
Suite 205
Tigard, OR 97223-0804
Phone
(503) 216-9140
Fax
(503) 216-9145

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NPI record

NPI
1184773319
Entity type
Individual (Type 1)
Enumeration date
January 9, 2007
Last updated
October 13, 2020
Certified
October 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD23792 OR

Mailing address

PO Box 3158
Portland, OR 97208-3158

About Dr. Antonovic

Sandra Ana Antonovic, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 12442 SW Scholls Ferry Rd, Suite 205, Tigard, OR 97223-0804. The NPI number 1184773319 was assigned on January 9, 2007 and the record was last updated on October 13, 2020.

Dr. Antonovic lists a license in the registry: #MD23792 (OR) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra Ana Antonovic, M.D.?

The NPI number is 1184773319.

What is the phone number of Dr. Antonovic?

The phone number listed for the practice location is (503) 216-9140.

Where is Dr. Antonovic located?

12442 SW Scholls Ferry Rd, Suite 205, Tigard, OR 97223-0804.

What is the taxonomy code for Dr. Antonovic?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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