Individual
PAUL MANCHESTER KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 NE 87TH AVE, SUITE 100, VANCOUVER, WA 98664-1989
(360) 904-6781
(360) 859-3173
Mailing address
505 NE 87TH AVE, SUITE 100, VANCOUVER, WA 98664-1989
(360) 904-6781
(360) 859-3173
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00020585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8477606
—
WA
Enumeration date
03/14/2006
Last updated
01/21/2014
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