Wyatt Johnson, ABOC
Wyatt Johnson, ABOC is an Optician in Pendleton, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
2203 SW Court PlPendleton, OR 97801-1896
Phone: (541) 276-2905
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 249306 (OR) |
|---|
Record details
| NPI number | 1831880749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABOC |
| Sole proprietor | No |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 19, 2023 |
| Mailing address | 2203 Sw Court Pl, Pendleton, OR 97801-1896 |
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David Wetherell, ABOC, NCLEC
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