Organization
STEPHEN W HOUGHTALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HOUGHTALING DDS (OWNER)
(503) 325-1470
Entity
Organization
Contact information
Practice address
1785 EXCHANGE ST, ASTORIA, OR 97103-3508
(503) 325-1470
Mailing address
1785 EXCHANGE ST, ASTORIA, OR 97103-3508
(503) 325-1470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6556
OR
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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