Individual
MR. MATTHEW E SURONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.O
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4931
Mailing address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4931
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001992
WA
Other
Enumeration date
08/30/2006
Last updated
07/17/2007
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