Organization
DARREN L THORSEN OD
Active
Other names
Coastal Eye Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA FLORENCE THORSEN (PRACTICE MANAGER)
(360) 484-3417
Entity
Organization
Contact information
Practice address
819 S HOLLADAY DR, SEASIDE, OR 97138-6608
(503) 738-5361
(503) 738-9094
Mailing address
819 S HOLLADAY DR, SEASIDE, OR 97138-6608
(503) 738-5361
(503) 738-9094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2483T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226831
—
OR
01
—
DD2653
RAILROAD MEDICARE
OR
Enumeration date
10/30/2007
Last updated
02/12/2013
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