Individual
DENISE IRENE HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 NE MARKET DRIVE, FAIRVIEW, OR 97024
(503) 660-0600
Mailing address
21824 NE HEARTWOOD CIR, FAIRVIEW, OR 97024-6787
(503) 660-0600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201601359NP-PP
NURSE PRACTITIONER LICENSE
OR
01
—
21545
NURSE PRACTITIONER LICENSE NUMBER
CA
Enumeration date
01/09/2012
Last updated
09/02/2016
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