Provider Demographics
NPI:1235775677
Name:HOUVENER, CELESTE ROSE
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ROSE
Last Name:HOUVENER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 N NORTHGATE WAY STE 221
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9018
Mailing Address - Country:US
Mailing Address - Phone:206-525-8012
Mailing Address - Fax:206-525-8013
Practice Address - Street 1:2111 N NORTHGATE WAY STE 221
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9018
Practice Address - Country:US
Practice Address - Phone:206-525-8012
Practice Address - Fax:206-525-8013
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist