| NPI | 1497891725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BORDEVILLE Office Manager 360-733-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: WA DO1643) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-04-11 |