Individual
NICOLE JANE LASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
KAISER PERMANENTE SUNSET MEDICAL OFFICE, 19400 NW EVERGREEN PWY, HILLSBORO, OR 97124-7031
(503) 690-5005
Mailing address
KAISER PERMANENTE SUNSET MEDICAL OFFICE, 19400 NW EVERGREEN PWY, HILLSBORO, OR 97124-7031
(503) 690-5005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2783 ATI
OR
Other
Enumeration date
08/30/2006
Last updated
02/04/2022
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