National Provider Identifier Database

WILLIAM K DOMARAD, D.O. – NPI #1831108455
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

WILLIAM K DOMARAD, D.O.
505 NE 87TH AVE STE 460
VANCOUVER, WA98664-1965
Phone: 360-514-7771
Fax: 360-514-7769
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for WILLIAM K DOMARAD

NPI Number 1831108455
Credentials D.O. (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/05/2006
Last updated 04/19/2026 - About 2 months ago
Sole proprietor1 No
Identifiers
  • IA License #: DO-04320
  • ID License #: O-1291
  • IN License #: 02003790A
  • SD License #: 7330
  • WA License #: OP00001949
  • ID Medicaid: 806992600
  • IN Medicaid: 201057130
  • OH Medicaid: 0109759
  • Other: 000000756863 ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
  • ID Other: S5247 BLUE CROSS OF IDAHO
  • ID Other: 000010148189 REGENCE BLUE SHIELD OF ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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