Individual
BRADLEY JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Mailing address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4394ATI
OR
Other
Enumeration date
04/27/2016
Last updated
04/19/2021
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