Individual
OHLA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
116 NORTHPORT AVE STE 112, BELFAST, ME 04915-6096
(207) 505-4163
(207) 613-2570
Mailing address
116 NORTHPORT AVE STE 112, BELFAST, ME 04915-6096
(207) 505-4163
(207) 613-2570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08084
TX
363A00000X
Physician Assistant
Primary
PA2933
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350351802
—
TX
01
—
350351803
CSHCN
TX
Enumeration date
12/14/2012
Last updated
08/19/2025
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