Individual
MICHELLE HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7850
Mailing address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9070
OR
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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