Organization
SHELBY WICKHORST OD PC
Active
Other names
Vision 162
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY G. WICKHORST OD (OWNER, DOCTOR)
(360) 944-1911
Entity
Organization
Contact information
Practice address
1901 NE 162ND AVE, SUITE D-102, VANCOUVER, WA 98684-3009
(360) 944-1911
(360) 944-5255
Mailing address
1901 NE 162ND AVE, SUITE D-102, VANCOUVER, WA 98684-3009
(360) 944-1911
(360) 944-5255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003526
WA
Other
Enumeration date
07/30/2009
Last updated
09/29/2014
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