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Individual

MISS SAGINA O'HALLORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3978 N WILLIAMS AVE, PORTLAND, OR 97227-1445
(503) 944-5475
Mailing address
1046 NW JOHNSON ST, PORTLAND, OR 97209-3024

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3395ATI
OR

Other

Enumeration date
10/07/2009
Last updated
03/22/2017
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