Individual
LYLAN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(973) 791-3899
Mailing address
11635 SW FOOTHILL DR, PORTLAND, OR 97225-5609
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GCP-T-10228189
OR
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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