Individual
DR. DARAN MICHAEL DECALESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
762 E 13TH AVE, EUGENE, OR 97401-3778
(541) 343-3333
Mailing address
762 E 13TH AVE, EUGENE, OR 97401-3778
(541) 343-3333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2772AT
OR
Other
Enumeration date
01/13/2006
Last updated
03/03/2020
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