Dalton, Erin Anderson

Dalton, Erin Anderson is an sole proprietor health care provider with primary practice located at 22400 Salamo Rd Ste. 100, West Linn OR 97068-8269. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dalton, Erin Anderson can be contacted via phone (503) 722-7737.

Contact Information

Primary practice address
22400 Salamo Rd Ste. 100 West Linn OR 97068-8269
Phone: (503) 722-7737
Fax: (503) 722-4152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3380AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 002680 Connecticut
Eye and Vision Services Providers / Optometrist 152W00000X 3380-ATI Oregon

Profile Details

NPI number 1881626000
LBN Legal business name Dalton, Erin Anderson
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Apr 11th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881626000 NPPES
Oregon MEDICAID 500635089
Oregon MEDICAID 004264256

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