Samuel Huntington Morehouse, PA-C
Physician Assistant, Surgical in Portland, OR. Individual provider (NPI-1).
NPI number1457770596
StatusActive
Last updated in NPPESApr 15, 2014
Details
- NPI
- 1457770596
- Entity type
- Individual (NPI-1)
- Name
- Samuel Huntington Morehouse
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2014
- Last updated
- Apr 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA00881 | OR | Yes |
| 363AM0700X | Physician Assistant, Medical | PA00881 | OR |
Practice location
3181 Sw Sam Jackson Park RdL-590
Portland, OR 97239-3011
Phone 503-494-4799
Mailing address
3181 Sw Sam Jackson Park RdL-590
Portland, OR 97239-3011
Phone 503-494-4799
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