Individual
KRISTIN LEIGH HOULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1300 NE 16TH AVE, PORTLAND, OR 97232-1467
(503) 228-6671
Mailing address
2289 HELMICH DR, BENTON, AR 72019-8322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
405929
OR
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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