Shelby Wickhorst Od PC
NPI #1336370964 in Vancouver, Washington
Provider Information
- NPI Number
- 1336370964
- Entity Type
- Organization
- Organization Name
- Shelby Wickhorst Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 30, 2009
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 1901 NE 162ND AVE
- Address 2
- SUITE D-102
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-3009
- Phone
- (360) 944-1911
Authorized Official
- Name
- DR. SHELBY G. WICKHORST, OD
- Title
- OWNER, DOCTOR
- Phone
- (360) 944-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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