Individual
DR. JAMES REXFORD OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
103 W MAIN ST, GOLDENDALE, WA 98620
(509) 773-4114
(509) 773-4293
Mailing address
PO BOX 250, GOLDENDALE, WA 98620
(509) 773-4114
(509) 773-4293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1014
WA
152W00000X
Optometrist
Primary
OD1014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649200
—
WA
Enumeration date
12/04/2006
Last updated
12/26/2008
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