Provider Demographics
NPI:1467675553
Name:HOUGHTON, PATRICK RICHARD (LMP)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:RICHARD
Last Name:HOUGHTON
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 LAKEWOOD CIR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4291
Mailing Address - Country:US
Mailing Address - Phone:360-870-4698
Mailing Address - Fax:
Practice Address - Street 1:2914 E MADISON ST
Practice Address - Street 2:STE. 109
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4274
Practice Address - Country:US
Practice Address - Phone:206-726-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020417225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist