Organization
ASHBAKER VISION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHARLES ASHBAKER O.D. (PRESIDENT)
(360) 695-3829
Entity
Organization
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
OD3779
WA
Other
Enumeration date
02/08/2007
Last updated
08/25/2010
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