Provider Demographics
NPI:1548481435
Name:HOUGHTON, JOHN GEOFF (ND)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GEOFF
Last Name:HOUGHTON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 CLEAR CREEK DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:541-482-8484
Mailing Address - Fax:541-482-1739
Practice Address - Street 1:153 CLEAR CREEK DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-482-8484
Practice Address - Fax:541-482-1739
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1099175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR230857Medicaid