person
Mr. Wayne H Shepard
Optician in Vancouver, Washington
NPI 1871699017

Wayne H Shepard is a Optician based in Brush Prairie, WA and is specialized in Optician. Wayne H Shepard practices in Vancouver, WA. The NPI Number for Wayne H Shepard is 1871699017 and holds a License No. DO00001507 (Washington).

The current practice location address for Wayne H Shepard is 12607 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-418-6001. You can also correspond with Wayne H Shepard through the mailing address at 23414 NE 139TH LOOP, BRUSH PRAIRIE, WA - 98606-9624 (mailing address contact number: 360-896-5153).

Location: 12607 Se Mill Plain Blvd, Vancouver, WA, 98606-9624
person
Provider Profile Details
NPI Number
1871699017
Provider Name
Wayne H Shepard
Credential
Provider Entity Type
Individual
Gender
Male
Address
12607 Se Mill Plain Blvd, Vancouver, WA, 98606-9624
Phone Number
360-418-6001
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider Business Mailing Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00001507 (Washington)
Definition
Definition to come...
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