Individual
ERIC LOGAN DORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-5505
Mailing address
817 AVALON CT SE, OLYMPIA, WA 98513-7737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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