Provider Demographics
NPI:1982827531
Name:HOUGHTON, PAMELA DALE (ND)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DALE
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 PHINNEY AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5558
Mailing Address - Country:US
Mailing Address - Phone:206-789-4066
Mailing Address - Fax:206-789-0258
Practice Address - Street 1:6303 PHINNEY AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5558
Practice Address - Country:US
Practice Address - Phone:206-789-4066
Practice Address - Fax:206-789-0258
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000147171100000X
WANT00000410175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath