Provider Demographics
NPI:1740776038
Name:SALZANO, AARON DANIEL (OD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:DANIEL
Last Name:SALZANO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 HICKORY ST NW STE 160
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1766
Mailing Address - Country:US
Mailing Address - Phone:541-967-3097
Mailing Address - Fax:541-791-7298
Practice Address - Street 1:609 HICKORY ST NW STE 160
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-1766
Practice Address - Country:US
Practice Address - Phone:541-967-3097
Practice Address - Fax:541-791-7298
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33972152W00000X
OR4442ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist