Individual
JODI CARLEEN HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2101 NE 139TH ST, SUITE 450, VANCOUVER, WA 98686-2309
(360) 487-4848
(360) 487-4850
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60098102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60098102
WA LICENSE
WA
05
—
PENDING
—
WA
Enumeration date
09/02/2009
Last updated
09/02/2009
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