Selah Vision Source, Pllc

NPI #1487787511 in Selah, Washington

Provider Information

NPI Number: 1487787511
Entity Type: Organization
Organization Name: Selah Vision Source, Pllc
Primary Specialty: Optometrist
Enumeration Date: Mar 14, 2007
Last Updated: Feb 26, 2008

Practice Location

Address: 105 W ORCHARD AVE
City: Selah
State: Washington
ZIP Code: 98942-1329
Phone: (509) 697-6177

Authorized Official

Name: MRS. NANCY S GRAF
Title: PROJECTS MANAGER
Phone: (509) 697-6177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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