Individual
ERIN ANDERSON DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
22400 SALAMO RD, STE. 100, WEST LINN, OR 97068-8269
(503) 722-7737
(503) 722-4152
Mailing address
22400 SALAMO RD, STE. 100, WEST LINN, OR 97068-8269
(503) 722-7737
(503) 722-4152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002680
CT
152W00000X
Optometrist
Primary
3380-ATI
OR
152W00000X
Optometrist
3380AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004264256
—
CT
05
—
500635089
—
OR
Enumeration date
07/07/2006
Last updated
04/11/2014
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