Individual
DR. JONATHAN CHARLES ASHBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8217 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2004
(360) 695-3829
(360) 695-7718
Mailing address
8217 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2004
(360) 695-3829
(360) 695-7718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 3779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027217
—
WA
Enumeration date
11/23/2005
Last updated
01/11/2008
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