DENISE IRENE HOUCK (NPI# 1528338423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528338423 |
| Entity Type | Individual |
| Full Name | DENISE IRENE HOUCK |
| Credential | NP |
| Practice Address |
1800 Ne Market Drive Fairview OR 97024 |
| Mailing Address |
21824 Ne Heartwood Cir Fairview OR 97024-6787 |
| Practice Telephone | 5036600600 |
| Mailing Telephone | 5036600600 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
21545 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NURSE PRACTITIONER LICENSE | 201601359NP-PP | 01 |
| CA | NURSE PRACTITIONER LICENSE NUMBER | 21545 | 01 |
| Street Address |
1800 NE MARKET DRIVE |
| City | FAIRVIEW |
| State | OR |
| Zip Code | 97024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710174974 | Portland Vamc | Clinic/Center | 1800 Ne Market Drive, Fairview, OR 97024-9998 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255792560 | Brent Labhart | Counselor | 17720 Ne Halsey, Fairview, OR 97024 | 2016-03-14 |
| 1720325954 | Glen R Edgerton | Internal Medicine | 3797 Ne Fairview Lake Way, Fairview, OR 97024 | 2013-01-08 |
| 1073657003 | Aoife O'sullivan | Family Medicine | Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 | 2007-02-15 |
| 1780240713 | Christie Ellen Thompson | Massage Therapist | 1659 Ne Market Drive, Fairview, OR 97024 | 2019-05-15 |
| 1003325531 | Daniel L Hubbell | Chiropractor | 1659 Ne Market Dr, Fairview, OR 97024 | 2017-09-27 |
| 1467625632 | Lisa Camille Gibson | Registered Nurse | 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024 | 2008-04-09 |
| 1447624663 | Western Psychological and Counseling Services PC | Health Maintenance Organization | 22070 Ne Chinook Way, Fairview, OR 97024-2647 | 2015-11-26 |
| 1891815957 | Robert Craig Stassi I | Chiropractor | 1606 Ne 223rd Ave, Fairview, OR 97024-2662 | 2007-03-30 |
| 1811168925 | Laurie Anne Mcadam | Occupational Therapy Assistant | 100 Bridge St, Fairview, OR 97024-2666 | 2008-03-17 |
| 1265052708 | Jessica A Steinhebel | Music Therapist | 200 Cedar St, Fairview, OR 97024-3740 | 2020-04-24 |
| Find all providers in zip 97024 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.