Individual
DR. ROGER WILLIAM HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10217 19TH AVE SE STE 102, EVERETT, WA 98208-4266
(425) 316-9400
(425) 316-8820
Mailing address
10217 19TH AVE SE STE 102, EVERETT, WA 98208-4266
(425) 316-9400
(425) 316-8820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1751TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024818
—
WA
Enumeration date
11/14/2006
Last updated
02/23/2010
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