Whiteford, Mark Huntington

Whiteford, Mark Huntington is an individual health care provider with primary practice located at 4805 Ne Glisan St Suite 6N60, Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Whiteford, Mark Huntington can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Suite 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD21976 Oregon
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD21976 Oregon

Profile Details

NPI number 1710970892
LBN Legal business name Whiteford, Mark Huntington
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710970892 NPPES
Oregon MEDICAID 134196
Oregon MEDICAID 8245078

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