MEDICARE: CHRISTINE H HOUK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1245789585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE H HOUK

Provider Business Mailing Address
First Line	:	1255 PEARL ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3570
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:	541-684-7638

Provider Business Practice Location Address
First Line	:	1255 PEARL ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3570
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:	541-684-7638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2016
Last Update Date	:	09/28/2016

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