Individual
DR. TRACI DEBORD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3150 E 27TH AVE, # 100, SPOKANE, WA 99223-4919
(509) 828-4561
(509) 228-8210
Mailing address
3150 E 27TH AVE, # 100, SPOKANE, WA 99223-4919
(509) 991-9722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029056
—
WA
Enumeration date
08/31/2006
Last updated
05/06/2021
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