Individual
DR. RICKY R BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19801 SW 72ND AVE STE 150, TUALATIN, OR 97062-8347
(503) 691-2283
(503) 691-5981
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI2559
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023231
—
AK
05
—
1245255686
—
ID
05
—
2019370
—
WA
05
—
209408
—
OR
01
—
410031420
RAIL ROAD MEDICARE
WA
01
—
410031421
RAIL ROAD MEDICARE
OR
01
—
410031423
RAIL ROAD MEDICARE
WA
01
—
410031424
RAIL ROAD MEDICARE
ID
01
—
410031425
RAILROAD MEDICARE
WA
01
—
410031427
RAIL ROAD MEDICARE
ID
01
—
410031428
RAIL ROAD MEDICARE
WA
01
—
410031429
RAIL ROAD MEDICARE
WA
01
—
410031430
RAIL ROAD MEDICARE
WA
01
—
410045000
RAIL ROAD MEDICARE
AK
Enumeration date
07/13/2006
Last updated
11/04/2020
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