Search › Washington › 152W00000X
Shelby Wickhorst, O.D
NPI 1982790721 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1901 Ne 162nd Ave Ste D102
Vancouver, WA 98684 - Phone
- (360) 944-1911
- Fax
- (360) 944-5255
- Organisation at this address
- Jamal Kussad Llc
Dr Julia Gourley Ps
Roman Zakhariya Dmd Ps
Shelby Wickhorst Od PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington