LUKE BORAN

KELSO, WA
NPI1386329290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WA  70010268)
Additional Taxonomies152W00000X Optometrist
(Licence: OR  4686ATI)
Enumeration Date2023-06-19
Last Update Date2025-10-16
Business Address
LUKE BORAN OD
209 W MAIN ST STE 100
KELSO, WA 98626-1368
Phone number: 360-414-8000
Mailing Address
LUKE BORAN OD
PO BOX 89
KELSO, WA 98626-0102
Phone number: 360-414-8000