Individual
KRISTINA HOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8638 N LOMBARD ST STE 2, PORTLAND, OR 97203-3741
(971) 361-8844
Mailing address
9221 N LOMBARD ST APT 9, PORTLAND, OR 97203-2174
(503) 327-4724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4092
OR
Other
Enumeration date
07/18/2015
Last updated
07/21/2022
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