Prismatic LLC
Technician in Hillsboro, OR. Organization (NPI-2).
NPI number1104766385
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1104766385
- Entity type
- Organization (NPI-2)
- Legal business name
- Prismatic LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2026
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
239 Ne Lincoln StHillsboro, OR 97124-3066
Phone 503-359-4038
Mailing address
239 Ne Lincoln StHillsboro, OR 97124-3066
Phone 503-359-4038
Authorized official
Lissa Martin
Owner
5033594038
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