Individual
DR. JAMIE GLEN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W IRONWOOD DR STE 158, COEUR D ALENE, ID 83814-4404
(208) 625-5100
(208) 625-5101
Mailing address
700 W IRONWOOD DR STE 158, COEUR D ALENE, ID 83814-4404
(208) 625-5100
(208) 625-5101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
IMLC.MD.61124854
WA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-17311
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54701279
—
CO
Enumeration date
01/19/2006
Last updated
03/18/2025
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