Individual
MIKIKO FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3084
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G 48562
CA
207W00000X
Ophthalmology Physician
OR MD21079
OR
207W00000X
Ophthalmology Physician
Primary
WA MD00035889
WA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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