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Individual

DR. RICHARD LOUIS DEGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3200 MAIN ST, VANCOUVER, WA 98663-2753
(360) 696-4691
(360) 823-2260
Mailing address
PO BOX 61896, VANCOUVER, WA 98666-1896
(360) 823-2012
(360) 823-2260

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1474
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018810
WA
Enumeration date
12/07/2005
Last updated
03/07/2023
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