Healthcare Provider Details

I. General information

NPI: 1134805468
Provider Name (Legal Business Name): NATALIA DOHMAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 VALLEY RIVER CTR
EUGENE OR
97401-2176
US

IV. Provider business mailing address

480 ALEXANDER LOOP APT 3103
EUGENE OR
97401-6717
US

V. Phone/Fax

Practice location:
  • Phone: 541-684-3924
  • Fax: 541-684-3926
Mailing address:
  • Phone: 605-377-4413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberATI4684
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: