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General NPI Number Information
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NPI Number | 1740776038
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Entity Type | Individual
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Provider Name | AARON DANIEL SALZANO OD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 609 HICKORY ST NW STE 160
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City | ALBANY
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State | OR
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Zip | 97321-1766
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Country | US
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Telephone | 541-967-3097
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Fax | 541-791-7298
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Provider Business Mailing Address
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Address Line | 609 HICKORY ST NW STE 160
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City | ALBANY
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State | OR
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Zip | 97321-1766
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Country | US
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Telephone | 541-967-3097
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Fax | 541-791-7298
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 33972
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4442ATI
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License Number State | OR
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