Individual
PRIYA RUTH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
755 NW GILMAN BLVD, ISSAQUAH, WA 98027
(909) 268-0607
Mailing address
6200 188TH LN NE #A103, REDMOND, WA 98052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11958T
CA
152W00000X
Optometrist
Primary
60266318
WA
Other
Enumeration date
01/16/2007
Last updated
11/20/2015
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