Caldwell, Dan
Caldwell, Dan is an individual health care provider with primary practice located at 125 Nw Miller Ave , Gresham OR 97030-7225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Caldwell, Dan can be contacted via phone (503) 665-5415.Contact Information
Primary practice address
125 Nw Miller Ave
Gresham OR 97030-7225
Phone: (503) 665-5415
Fax: (503) 492-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1627T | Oregon |
Profile Details
| NPI number | 1780676254 |
|---|---|
| LBN Legal business name | Caldwell, Dan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Sep 22nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780676254 | NPPES |
| Oregon | MEDICAID | 290155 |
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