Organization
LUMIERE LLC
Active
Other names
Luminous Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OPOLLO ROSS PSYD (CLINICAL DIRECTOR)
(360) 602-2620
Entity
Organization
Contact information
Practice address
9120 NE VANCOUVER MALL LOOP STE 262, VANCOUVER, WA 98662-6391
(541) 702-7400
Mailing address
6715 NE 63RD ST STE 277, VANCOUVER, WA 98661-1980
(360) 602-2620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
07/11/2024
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