Provider Demographics
NPI:1639115538
Name:HOUDEK, ANNE-SOPHIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE-SOPHIE
Middle Name:
Last Name:HOUDEK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5327 NE GLISAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213
Mailing Address - Country:US
Mailing Address - Phone:503-867-5906
Mailing Address - Fax:503-241-7419
Practice Address - Street 1:5327 NE GLISAN ST
Practice Address - Street 2:PORTLAND
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213
Practice Address - Country:US
Practice Address - Phone:503-867-5906
Practice Address - Fax:503-445-0749
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health