Individual
DR. PAUL F. HARTKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19 W CENTRAL AVE., OMAK, WA 98841
(509) 826-0240
Mailing address
PO BOX 2117, OMAK, WA 98841-2117
(509) 826-0240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1230TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002801
—
WA
Enumeration date
08/09/2005
Last updated
09/28/2011
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