Individual
DANIEL E OGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9730 SW WASHINGTON SQUARE RD, TIGARD, OR 97223-4453
(503) 624-0666
Mailing address
4945 NW 180TH TER, PORTLAND, OR 97229-2131
(503) 730-2721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3599ATI
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2012
Last updated
05/31/2015
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