Individual
DAVID WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLEC
Contact information
Practice address
2203 SW COURT PL, PENDLETON, OR 97801-1896
(541) 276-2905
(541) 276-2918
Mailing address
2203 SW COURT PL, PENDLETON, OR 97801-1896
(541) 276-2905
(541) 276-2918
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
216334
OR
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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