Individual
FIRAS OMAR BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8101 NE PARKWAY DR STE D2&D4, VANCOUVER, WA 98662-7911
(360) 314-6900
(360) 433-9180
Mailing address
11364 SE 82ND AVE, SUITE 402, HAPPY VALLEY, OR 97086-7637
(503) 305-5084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3533ATI
OR
152W00000X
Optometrist
Primary
OD60376580
WA
Other
Enumeration date
09/26/2012
Last updated
08/20/2019
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