Organization
LOWER COLUMBIA EYE CLINIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E HULBERT MD (OWNER)
(360) 423-0220
Entity
Organization
Contact information
Practice address
600 TRIANGLE CENTER, SUITE 400, LONGVIEW, WA 98632
(360) 423-0220
(360) 423-0697
Mailing address
600 TRIANGLE CENTER, SUITE 400, LONGVIEW, WA 98632
(360) 423-0220
(360) 423-0697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7075443
—
WA
01
—
DG4720
RAILROAD MEDICARE
—
Enumeration date
11/30/2006
Last updated
10/14/2009
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