Individual
JOHN E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14901 NW 25TH AVE, VANCOUVER, WA 98685-1010
(360) 573-7564
Mailing address
14901 NW 25TH AVE, VANCOUVER, WA 98685-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60023312
WA
Other
Enumeration date
10/09/2007
Last updated
07/07/2008
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