TAMARA LYNN HOUSTON


Address: 503 Airport Rd, Medford, OR 97504-4159
Phone: 5412002900

TAMARA LYNN HOUSTON (NPI# 1497172761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497172761
Entity Type Individual
Full Name TAMARA LYNN HOUSTON
Credential PA-C
Practice Address 503 Airport Rd
Medford
OR 97504-4159
Mailing Address 3587 Heathrow Way
Medford
OR 97504-4004
Practice Telephone 5412002900
Practice Fax Number 5412002949
Mailing Telephone 5418588170
Mailing Fax Number 5418588167
Enumeration Date 2014-03-25
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA166331 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500669689 05

Office Location

Street Address 503 AIRPORT RD
City MEDFORD
State OR
Zip Code 97504-4159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790089050 Martha Hutchison Social Worker 503 Airport Rd, Ste 103, Medford, OR 97501 2010-12-30
1992368682 Kirsten Arreguin Social Worker 503 Airport Rd, Medford, OR 97504-4159 2019-04-17
1417466103 Elizabeth Allred Counselor 503 Airport Rd, Medford, OR 97504-4159 2017-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932346095 Elena Tovkan Forster Physician Assistant 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 2009-01-12
1245416544 Alanna R Dixon Physician Assistant 1698 E. Mcandrews Rd, Suite 400, Medford, OR 97504-5590 2008-01-16
1134784580 Amanda Nicole Taylor Physician Assistant 2828 E Barnett Rd, Medford, OR 97504-8342 2019-05-01
1295398766 Lindsey R Robinson Physician Assistant 19 Myrtle St, Medford, OR 97504-7337 2019-04-19
1396226247 Mason Scott Hoying Physician Assistant 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 2018-08-28
1720598287 Ryan Mcdaniel Physician Assistant 2780 E Barnett Rd, Medford, OR 97504-8674 2017-10-10
1861946931 Erica Florence Smith Physician Assistant 2825 E Barnett Rd, Medford, OR 97504-8332 2016-08-06
1578933123 Fred Garnica Physician Assistant 503 Airport Rd Ste 101, Medford, OR 97504-4159 2015-09-25
1003297581 Gregory Lee Werner Physician Assistant 143 S Gibson St, Medford, WI 54451-1622 2015-06-10
1780087502 Dillon Smith Physician Assistant 2780 E Barnett Rd Ste 200, Medford, OR 97504 2014-10-07
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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