Individual
DR. DANIEL DAYTON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
660 CAPITOL ST NE, SALEM, OR 97301-2504
(503) 364-0512
Mailing address
4125 RIVERCREST DR N, KEIZER, OR 97303-5910
(503) 393-6148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1472ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11376-1
—
OR
01
—
T67431
UPIN
OR
Enumeration date
10/20/2005
Last updated
03/07/2023
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