Individual
CONNOR HOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-1711
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-1711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61020108
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
06/16/2020
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