Individual
DR. ROSILAND LYNN HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8269 SW WILSONVILLE RD STE G, WILSONVILLE, OR 97070-7719
(503) 685-9015
(503) 682-8696
Mailing address
8269 SW WILSONVILLE RD STE G, WILSONVILLE, OR 97070-7719
(503) 685-9015
(503) 682-8696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2690ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300200802
BLUE CROSS HMO/FC 65
—
01
—
831474002
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/18/2005
Last updated
04/13/2020
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