MRS. Ayla Jade Himmelsbach, OD

NPI #1003168337 in Portland, Oregon

Provider Information

NPI Number
1003168337
Entity Type
Individual
Name
MRS. Ayla Jade Himmelsbach, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Oct 10, 2012
Last Updated
Nov 4, 2021

Practice Location

Address
7826 SW CAPITOL HWY
State
Oregon
ZIP Code
97219-2466
Phone
(503) 224-7788

Specialties & Taxonomy Codes

Specialty
Optometrist

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