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:
Health care specialties
| Specialty | Code | License # | 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 | May 13th, 2026 - about 6 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710970892 | NPPES |
| Oregon | MEDICAID | 134196 | |
| Oregon | MEDICAID | 8245078 |
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