Individual
DR. MARC R HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5634
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO25184
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142246
WA L&I
—
01
—
277885
MARION POLK CHP
—
05
—
277885
—
OR
05
—
8416935
—
WA
01
—
I15163
PROVIDENCE
—
05
—
XYP202200
—
CA
Enumeration date
06/23/2006
Last updated
12/19/2007
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