Individual
AUDRY B VAN HOUWELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
204 W ADAMS AVE STE 202, SISTERS, OR 97759-2517
(541) 595-8337
(503) 200-1433
Mailing address
PO BOX 2206, SISTERS, OR 97759-2206
(541) 595-8337
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60297379
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201403159NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60297379
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297873
L&I
WA
05
—
1114274859
—
WA
Enumeration date
08/13/2012
Last updated
01/20/2024
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