Individual
MS. DIANE LEONA ULICSNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C. HT
Contact information
Practice address
15110 BOONES FERRY RD, SUITE 245, LAKE OSWEGO, OR 97035-3468
(503) 699-6128
(503) 582-1017
Mailing address
15110 BOONES FERRY RD, SUITE 245, LAKE OSWEGO, OR 97035-3468
(503) 699-6128
(503) 582-1017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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