Individual
MR. DAVID MARK HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2106 NE 40TH AVE, PORTLAND, OR 97212-5405
(503) 422-4110
Mailing address
2106 NE 40TH AVE, PORTLAND, OR 97212
(503) 422-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2834
OR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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