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Contact Information

LUKE BORAN, OD
209 W MAIN ST STE 100
KELSO, WA98626-1368
 Phone: 360-414-8000
 Fax: 360-414-1100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LUKE BORAN · (Male)

NPI # 1386329290
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/19/2023
Last updated 10/16/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 4686ATI
  • WA License # 70010268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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