Individual
MRS. KILAH SHEA ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
443 SW EVERGREEN AVE, REDMOND, OR 97756-2817
(541) 923-2221
(541) 923-3776
Mailing address
PO BOX 918, REDMOND, OR 97756-0206
(541) 923-2221
(541) 923-3776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3434ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500642657
—
OR
Enumeration date
11/24/2010
Last updated
12/06/2022
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