DOMINIC P. PATILLO MD – NPI #1275649162
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

DOMINIC PATILLO is an orthopaedic surgeon located in LAKE OSWEGO, OR. NPPES has assigned the NPI number 1275649162 to DOMINIC PATILLO on August 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was last updated on Aug 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOMINIC PATILLO below.

NPI Profile for
DOMINIC P. PATILLO

NPI Number
1275649162
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOMINIC P. PATILLO
Credentials
MD
Primary location
17355 LOWER BOONES FERRY RD
STE 100A
LAKE OSWEGO, OR 97035-2839
Phone: (503) 256-5866 Fax: (503) 254-0656
1 Other location(s):
5050 NE Hoyt St Ste 668
Portland, OR 97213-2990
Phone: (503) 224-8399
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)		 OR MD151644
207X00000X
- Orthopaedic Surgery		 OR MD151644

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2004
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DOMINIC PATILLO is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY GOOD SAMARITAN MEDICAL CENTER
      1015 NW 22ND AVENUE, W121
      PORTLAND, OR 97210
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213

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