Individual
JAHAIRA LASSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 COLUMBIA BLVD, SAINT HELENS, OR 97051-1737
(503) 397-4911
Mailing address
418 NE AUTUMN ROSE WAY APT B, HILLSBORO, OR 97124-5323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4623
OR
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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