Individual
JANICE F HURTUBISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9317 NE HIGHWAY 99, SUITE D, VANCOUVER, WA 98665-8900
(360) 571-3430
(360) 571-3492
Mailing address
14815 NE 5TH CT, VANCOUVER, WA 98685-5769
(360) 571-2473
(360) 571-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2771ATI
OR
152W00000X
Optometrist
Primary
3555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030633
—
WA
Enumeration date
10/24/2006
Last updated
07/08/2007
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