RUSSELL HYSLOP

BRUSH PRAIRIE, WA
NPI1790441541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
RUSSELL HYSLOP
11104 NE 149TH ST
BRUSH PRAIRIE, WA 98606-9565
Phone number: 360-389-7588
Mailing Address
RUSSELL HYSLOP
11217 NW 25TH CT
VANCOUVER, WA 98685-4421
Phone number: