Organization
DR. JACLYN PHAN & ASSOCIATES
Active
Other names
Comfort Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN T PHAN O.D. (PRESIDENT)
(425) 485-6812
Entity
Organization
Contact information
Practice address
1912 201ST PL SE, SUITE 204, BOTHELL, WA 98012-8570
(425) 485-6812
(425) 485-6813
Mailing address
1912 201ST PL SE, SUITE 204, BOTHELL, WA 98012-8570
(425) 485-6812
(425) 485-6813
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3357
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033652
—
WA
Enumeration date
11/21/2007
Last updated
11/21/2007
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