Sandra A. Antonovic, M.D.
Pediatrics · Tigard, OR
UnclaimedM.D.NPI 1184773319
- Primary taxonomy
- 208000000X
- Enumerated
- 2007-01-09
- Practice location
- Tigard, OR
- Last NPPES update
- 2020-10-13
State licenses
- OR · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.