Individual
DR. GLEN R OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7315 212TH ST SW, STE 200, EDMONDS, WA 98026-7610
(425) 774-2020
(425) 670-8932
Mailing address
7315 212TH ST SW, STE 200, EDMONDS, WA 98026-7610
(425) 774-2020
(425) 670-8932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1736TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013944
—
WA
Enumeration date
10/13/2006
Last updated
02/28/2012
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