Healthcare Provider Details

I. General information

NPI: 1285175604
Provider Name (Legal Business Name): DREW M HOUSTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2017
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 N PROVIDENCE DR STE 210
NEWBERG OR
97132-7523
US

IV. Provider business mailing address

PO BOX 31001-4180
PASADENA CA
91110-4180
US

V. Phone/Fax

Practice location:
  • Phone: 503-537-5620
  • Fax: 971-282-0099
Mailing address:
  • Phone: 503-215-6494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD203690
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberMD203690
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: