Wood, Lisa Fortlouis
Wood, Lisa Fortlouis is an sole proprietor health care provider with primary practice located at 16040 Christensen Rd Ste 217 , Tukwila WA 98188-2966. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wood, Lisa Fortlouis can be contacted via phone (206) 244-9959.Contact Information
Primary practice address
16040 Christensen Rd Ste 217
Tukwila WA 98188-2966
Phone: (206) 244-9959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | WA 1504 | Washington |
Profile Details
| NPI number | 1972659159 |
|---|---|
| LBN Legal business name | Wood, Lisa Fortlouis |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972659159 | NPPES |
| Washington | Other | WA1504 | STATE LICENSE NUMBER |
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