Individual
JASON ALLEN MICHAEL HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15581 SE WEBSTER RD, MILWAUKIE, OR 97267-4230
(503) 737-7044
Mailing address
15581 SE WEBSTER RD, MILWAUKIE, OR 97267-4230
(503) 737-7044
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3504
OR
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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