Individual
KRISTI HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 230-9654
(503) 239-5953
Mailing address
4526 SE CLAY ST, PORTLAND, OR 97215-3153
(503) 803-7451
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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