Individual
JEFFERY RICHARD HOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(585) 402-0381
Mailing address
748 MARINER CIR, WEBSTER, NY 14580-3908
(585) 402-0381
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
60397
OR
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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