IndividualActive
Ayla Himmelsbach, OD
NPI 1003168337 · Optometrist · Portland, OR
Provider details
- NPI number
- 1003168337
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3649ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7826 Sw Capitol Hwy
Portland, OR 97219-2466
Phone: (503) 224-7788
Approximate (ZIP-level) locationGet directions
Mailing address
7826 Sw Capitol Hwy
Portland, OR 97219-2466
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.