Organization
PRISMATIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA MARTIN LE (OWNER)
(503) 359-4038
Entity
Organization
Contact information
Practice address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(503) 359-4038
Mailing address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(503) 359-4038
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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