Shelby G Wickhorst, O.D.
NPI #1982790721 in Vancouver, Washington
Provider Information
- NPI Number
- 1982790721
- Entity Type
- Individual
- Name
- Shelby G Wickhorst, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1901 NE 162ND AVE STE D102
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-3010
- Phone
- (360) 944-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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