Provider Demographics
NPI:1235742198
Name:HOUF, GEOFFREY (DMD)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:
Last Name:HOUF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12453 SE EAGLE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-6499
Mailing Address - Country:US
Mailing Address - Phone:503-890-6263
Mailing Address - Fax:
Practice Address - Street 1:5880 NE CORNELL RD STE D
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-9075
Practice Address - Country:US
Practice Address - Phone:503-615-8600
Practice Address - Fax:503-681-8691
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD113101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice