Individual
DR. ASHLEY RAE HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3978 N WILLIAMS AVE, PORTLAND, OR 97227-1445
(503) 493-7070
Mailing address
3978 N WILLIAMS AVE, PORTLAND, OR 97227-1445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3472ATI
OR
Other
Enumeration date
10/07/2009
Last updated
12/23/2015
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