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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WILLIAM K DOMARAD · (Male)

NPI Number 1831108455
Status Active
Credentials D.O. (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/05/2006
Last updated 04/19/2026 - About 2 months ago
Sole proprietor 1 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(s)
  • MERCY HOSPITAL - (Acute Care)
    500 E MARKET STREET
    IOWA CITY, IA 52245
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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