Healthcare Provider Details
I. General information
NPI: 1346266715
Provider Name (Legal Business Name): DONALD K SAXTON, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18629 SW TUALATIN VALLEY HWY
ALOHA OR
97006-3153
US
IV. Provider business mailing address
18629 SW TUALATIN VALLEY HWY
ALOHA OR
97006-3153
US
V. Phone/Fax
- Phone: 503-649-7566
- Fax:
- Phone: 503-649-7566
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONALD
K
SAXTON
Title or Position: OWNER
Credential: OD
Phone: 503-649-7566