Individual
CAROLYN GROUT GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4407 N DIVISION ST STE 100, SPOKANE, WA 99207-1670
(509) 487-3838
Mailing address
10803 N NELSON RD, SPOKANE, WA 99218-1629
(509) 869-9538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
00003086
WA
152W00000X
Optometrist
Primary
3086TX
WA
Other
Enumeration date
10/05/2006
Last updated
01/05/2026
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