Individual
DR. HERBERT WESLEY COURTNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14841 179TH AVE SE, STE 110, MONROE, WA 98272-1127
(360) 794-2020
(360) 794-7631
Mailing address
14841 179TH AVE SE, STE 110, MONROE, WA 98272-1127
(360) 794-2020
(360) 794-7631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1472TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156303
LABOR AND INDUSTRIEDS PIN
WA
05
—
2001881
—
WA
01
—
3242CO
BLUE CROSS PIN
WA
Enumeration date
01/28/2007
Last updated
07/09/2007
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