Individual
DR. CRAIG D. MEHLHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 N BROADWAY ST, ABERDEEN, WA 98520-3933
(360) 533-1880
(360) 533-1886
Mailing address
PO BOX 388, ABERDEEN, WA 98520-0093
(360) 533-1880
(360) 533-1886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803129
BLUECROSS
WA
05
—
1019536
—
WA
01
—
27402
L & I PROV. #
WA
01
—
410040935
RR MEDICARE
WA
01
—
ME 9095
REGENCE
WA
Enumeration date
10/12/2006
Last updated
05/20/2010
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