Individual
MRS. LISA ROSE HULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
2800 224TH ST, DES MOINES, WA 98198
(971) 206-5200
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S160048614
WA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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