Individual
LUKE BORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
209 W MAIN ST STE 100, KELSO, WA 98626-1368
(360) 414-8000
(360) 414-1100
Mailing address
PO BOX 89, KELSO, WA 98626-0102
(360) 414-8000
(360) 414-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4686ATI
OR
152W00000X
Optometrist
Primary
70010268
WA
Other
Enumeration date
06/19/2023
Last updated
10/16/2025
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