Individual
DOUGLAS DALE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3084
Mailing address
2115 NE 151ST CIR, VANCOUVER, WA 98686-2108
(360) 546-1497
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1450
WA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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