Individual
DR. JANE M HOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2820 GRIFFIN AVE, SUITE 204, ENUMCLAW, WA 98022-2373
(360) 825-8900
(360) 825-8904
Mailing address
2820 GRIFFIN AVE, SUITE 204, ENUMCLAW, WA 98022-2373
(360) 825-8900
(360) 825-8904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110198359
RAILROAD
WA
01
—
133810
L & I
WA
05
—
8249765
—
WA
01
—
8929992
CRIME VICTIMS
WA
Enumeration date
07/30/2006
Last updated
07/30/2010
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