Individual
IRINA RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 OCEAN BEACH HWY STE 100, LONGVIEW, WA 98632-4081
(360) 636-2020
(360) 425-0221
Mailing address
829 OCEAN BEACH HWY STE 100, LONGVIEW, WA 98632-4010
(360) 636-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61161231
WA
Other
Enumeration date
08/28/2015
Last updated
10/25/2022
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