Individual
DR. DAN JOHN HYDUCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
914 SW HURBERT ST, NEWPORT, OR 97365-4715
(541) 265-2020
(541) 265-8988
Mailing address
914 SW HURBERT ST, NEWPORT, OR 97365-4715
(541) 265-2020
(541) 265-8988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3027ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3027ATI
OREGON OPTOMETRY LICENSE
OR
Enumeration date
01/24/2007
Last updated
11/01/2007
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