Individual
DR. DENISE MARIE IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10990 HARBOR HILL DR NW, GIG HARBOR, WA 98332-8945
(253) 853-8613
(253) 853-8614
Mailing address
10990 HARBOR HILL DR NW, GIG HARBOR, WA 98332-8945
(253) 853-8613
(253) 853-8614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033769
—
WA
01
—
G8871458
MEDICARE WA
WA
Enumeration date
08/10/2005
Last updated
05/21/2013
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