Doctor Name: | AUDRY B VAN HOUWELING |
NPI Number: | 1114274859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60297379 |
Business Practice Address: | 1475 Mt. Hood Ave Woodburn, OR - 97071 |
Business Phone Number: | 9719835214 |
Business Fax Number: | |
Mailing Address: | 1475 Mt. Hood Ave, WOODBURN |
State: | OR |
Postal Code: | 97071 |
Phone Number: | 9719835214 |
Fax Number: | 9719835326 |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | AP60297379 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |