Individual
MR. CRIS MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCLE-AC, NCLEM
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
Mailing address
5910 NE 62ND ST, VANCOUVER, WA 98661-2290
(415) 530-7107
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
04/11/2012
Last updated
08/05/2022
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