Individual
MS. LESLIE ANNE HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-2611
(541) 346-2812
Mailing address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-2611
(541) 346-2812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000526
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000526
STATE LICENSE
OR
Enumeration date
01/03/2012
Last updated
01/03/2012
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