WAYNE H SHEPARD

VANCOUVER, WA
NPI1871699017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  DO00001507)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Mr. WAYNE H SHEPARD
12607 SE MILL PLAIN BLVD CASCADE PARK MEDICAL OFFICE
VANCOUVER, WA 98684-6055
Phone number: 360-418-6001
Mailing Address
Mr. WAYNE H SHEPARD
23414 NE 139TH LOOP
BRUSH PRAIRIE, WA 98606-9624
Phone number: 360-896-5153