Erik Gustavson, OD

NPI #1053137505 in Albany, Oregon

Provider Information

NPI Number: 1053137505
Entity Type: Individual
Name: Erik Gustavson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 2, 2024
Last Updated: Jan 17, 2025

Practice Location

Address: 1801 14TH AVE SE
City: Albany
State: Oregon
ZIP Code: 97322-8502
Phone: (541) 223-0179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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