Individual
SYDNEY PATRICIA LULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(510) 679-3545
Mailing address
6125 FERNBROOK ST, LAKE OSWEGO, OR 97035-7766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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