Individual
LAINEY HULSIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SW HALL BLVD, PORTLAND, OR 97223-6793
(503) 740-6996
Mailing address
9555 SW HALL BLVD, PORTLAND, OR 97223-6793
(503) 740-6996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8533836
OR
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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