Provider Demographics
NPI:1588998991
Name:KUHN-WILKEN, OLIVER CADY (OD)
Entity type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:CADY
Last Name:KUHN-WILKEN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-0409
Mailing Address - Country:US
Mailing Address - Phone:360-242-3008
Mailing Address - Fax:360-807-7687
Practice Address - Street 1:19801 SW 72ND AVE STE 150
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8347
Practice Address - Country:US
Practice Address - Phone:503-691-2283
Practice Address - Fax:503-691-5981
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60226350152W00000X
OR3400ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2024282Medicaid
OR1588998991Medicaid