Individual
DR. JONATHAN E. STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8700 NE VANCOUVER MALL DR, SUITE 168, VANCOUVER, WA 98662-6750
(360) 254-5990
(360) 944-6090
Mailing address
8700 NE VANCOUVER MALL DR, SUITE 168, VANCOUVER, WA 98662-6750
(360) 254-5990
(360) 944-6090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1741TX
WA
Other
Enumeration date
06/30/2006
Last updated
10/23/2008
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