Individual
DR. JOHN A ZIEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
310 NW 3RD AVE, CANBY, OR 97013-3603
(503) 266-6600
(503) 266-6875
Mailing address
310 NW 3RD AVE, CANBY, OR 97013-3603
(503) 266-6600
(503) 266-6875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1739ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004213
—
OR
Enumeration date
11/09/2006
Last updated
11/05/2012
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