Individual
DR. DARREN L THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1703 PACIFIC AVE S, LONG BEACH, WA 98631-3400
(360) 642-3214
(360) 642-5333
Mailing address
1703 PACIFIC AVE S, LONG BEACH, WA 98631-3400
(360) 642-3214
(360) 642-5333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2483T
OR
152W00000X
Optometrist
Primary
3069TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046289
—
OR
05
—
2022549
—
WA
Enumeration date
06/09/2005
Last updated
10/14/2011
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