Individual
HOLLY HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
1125104
AL
367A00000X
Advanced Practice Midwife
Primary
202105408NP-PP
OR
367A00000X
Advanced Practice Midwife
209.010843
IL
367A00000X
Advanced Practice Midwife
23235
TN
Other
Enumeration date
03/01/2010
Last updated
04/08/2022
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