Provider Demographics
NPI:1194122630
Name:SALMAN, HOUSSEIN M (RPH)
Entity type:Individual
Prefix:MR
First Name:HOUSSEIN
Middle Name:M
Last Name:SALMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 EUGENE ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1007
Mailing Address - Country:US
Mailing Address - Phone:541-490-1278
Mailing Address - Fax:
Practice Address - Street 1:2700 WASCO ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1049
Practice Address - Country:US
Practice Address - Phone:541-387-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-27
Last Update Date:2014-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH0009848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist