Individual
ADDISON GALLERY HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 NW OVERTON ST, PORTLAND, OR 97210-2927
(503) 241-6051
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
06/29/2023
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