Individual
DR. GARY R GOUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.,O.D.
Contact information
Practice address
8216 SE SHERLEY AVE, VANCOUVER, WA 98664-2238
(503) 442-3264
Mailing address
8216 SE SHERLEY AVE, VANCOUVER, WA 98664-2238
(503) 442-3264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
00003295
WA
152W00000X
Optometrist
3073ATI
OR
152W00000X
Optometrist
7201
CA
183500000X
Pharmacist
0008670
OR
183500000X
Pharmacist
051031416
IL
183500000X
Pharmacist
31990
CA
183500000X
Pharmacist
Primary
PH00068682
WA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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