Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANDRA ANA ANTONOVIC, M.D.
ActivePediatrics · TIGARD, OR
Registration Details
- NPI Number
- 1184773319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.341734000725 yrs)
- Last Updated
- Oct 13, 2020
- License
-
MD23792 (OR)
Practice Information
- Address
-
12442 SW SCHOLLS FERRY RDSUITE 205TIGARD, OR, 972230804Browse OR providers · Browse ZIP 97223
- Phone
- 5032169140
- Fax
- 5032169145
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| LAURA L DAHL | MD | 1912904418 |
| DR. HEATHER M MOORE | MD | 1265424048 |
| SARAH RACHEL OLLER | M.D. | 1982619565 |
| LEILA HOTAKI MESCH | M.D. | 1215041124 |
| KIRSTEN CROWLEY | MD | 1396838280 |
| CAROL LYNN SCHRINER | MD | 1407943186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.