Individual
DR. RONALD LEE SCAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 11TH ST NW, LONG BEACH, WA 98631-0737
(360) 642-2710
Mailing address
PO BOX 737, LONG BEACH, WA 98631-0737
(360) 642-2710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006609
—
WA
Enumeration date
06/16/2005
Last updated
06/29/2010
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