Provider Demographics
NPI:1225856495
Name:MORLAND BOSER, HILARY
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:MORLAND BOSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16529 132ND PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-6979
Mailing Address - Country:US
Mailing Address - Phone:701-440-1242
Mailing Address - Fax:
Practice Address - Street 1:1601 LAKE YOUNGS WAY SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-3817
Practice Address - Country:US
Practice Address - Phone:425-204-4865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61598607235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist