MS. Diane Leona Ulicsni, C. HT

NPI #1801118195 in Lake Oswego, Oregon

Provider Information

NPI Number: 1801118195
Entity Type: Individual
Name: MS. Diane Leona Ulicsni, C. HT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: C. HT
Enumeration Date: Feb 27, 2010
Last Updated: Feb 27, 2010

Practice Location

Address: 15110 BOONES FERRY RD
Address 2: SUITE 245
City: Lake Oswego
State: Oregon
ZIP Code: 97035-3468
Phone: (503) 699-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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