Healthcare Provider Details

I. General information

NPI: 1346245370
Provider Name (Legal Business Name): DANA A MCLAUGHLIN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4285 COMMERCIAL ST SE STE 140
SALEM OR
97302-4372
US

IV. Provider business mailing address

831 LANCASTER DR NE SUITE #151
SALEM OR
97301-2676
US

V. Phone/Fax

Practice location:
  • Phone: 971-377-1120
  • Fax:
Mailing address:
  • Phone: 503-364-4896
  • Fax: 503-589-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3259
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: