Organization
FAMILY VISION CENTER OF TACOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN WENDELL GORHAM O.D. (OWNER)
(253) 759-5679
Entity
Organization
Contact information
Practice address
2514 N. ADAMS ST., TACOMA, WA 98406
(253) 759-5679
(253) 759-0785
Mailing address
6411 87TH ST E, PUYALLUP, WA 98371-6214
(253) 686-2770
(253) 759-0785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3056TX
WA
Other
Enumeration date
10/05/2007
Last updated
02/01/2024
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