Individual
ELISABETH PORPYLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 9TH PL NE, ISSAQUAH, WA 98029-7450
(425) 654-9568
Mailing address
1707 9TH PL NE, ISSAQUAH, WA 98029-7450
(425) 654-9568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242.002920
IL
235Z00000X
Speech-Language Pathologist
Primary
61104804
WA
Other
Enumeration date
11/01/2013
Last updated
10/21/2020
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