Individual
HANSINI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
18345 SW ALEXANDER ST STE A, ALOHA, OR 97003-3960
(503) 642-2505
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT3128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500777626
—
OR
Enumeration date
06/10/2006
Last updated
06/20/2023
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