Individual
ASHLEY NICOLE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
553 18TH ST, ASTORIA, OR 97103-3505
(503) 325-4401
Mailing address
1991 SE CHOKEBERRY AVE UNIT 301, WARRENTON, OR 97146-7415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4469ATI
OR
152W00000X
Optometrist
60969199
WA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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