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Individual

DR. AMY LYNN RISKEDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5900 LITTLEROCK RD SW, TUMWATER, WA 98512-7355
(360) 350-6024
(360) 943-6981
Mailing address
5900 LITTLEROCK RD SW, TUMWATER, WA 98512-7355
(360) 350-6024
(360) 943-6981

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001906
WA
152WC0802X
Corneal and Contact Management Optometrist
OD00001906
WA
152WP0200X
Pediatric Optometrist
OD00001906
WA
152WV0400X
Vision Therapy Optometrist
OD00001906
WA

Other

Enumeration date
05/31/2006
Last updated
05/08/2019
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