NPI 1487766507

Therese Ann Wortman, LDO

Practitioner Optician Longview, WA

Practice location

Address: 1230 7th Ave, Longview, WA 98632-3166
Phone: (360) 636-6238
Fax: (360) 636-6231
Mailing address: 477 Agren Rd, Castle Rock, WA 98611-9646

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO00001755 (WA)

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1487766507
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.