Individual
LISA A OHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(319) 209-1482
Mailing address
10578 ROLLING HILLS DR, BURLINGTON, IA 52601-8548
(319) 209-1482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118498
IA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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