Individual
JOHN ALAN CORRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1000 12TH ST, HOOD RIVER, OR 97031
(541) 386-5700
Mailing address
1000 12TH ST, HOOD RIVER, OR 97031
(541) 386-5700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1308ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046
—
OR
Enumeration date
11/27/2006
Last updated
08/22/2007
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