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Individual

AUDREY KATHERINE HOUTCHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2149 NE BROADWAY ST, PORTLAND, OR 97232-1580
(503) 281-0278
Mailing address
2734 SE 29TH AVE APT F, PORTLAND, OR 97202-1381

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28122
OR

Other

Enumeration date
05/04/2024
Last updated
05/04/2024
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