Individual
LISA RAE MALSHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 E CHESTNUT ST, BELLINGHAM, WA 98225-5241
(360) 788-8143
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004182
WA
Other
Enumeration date
04/07/2022
Last updated
12/06/2023
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