Individual
JARED HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(216) 778-4486
Mailing address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
181741
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790104784
—
OR
Enumeration date
04/07/2014
Last updated
04/11/2018
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