Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD00041407 | WA |
NPI | 1003881012 |
---|---|
Provider Name | Adam Louis Rasky |
First Address | Vancouver, WA 98664-1989 |
Second Address | Vancouver, WA 98664-1989 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 21/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8316127 | (05) | WA |
H23861 | (02) |