Provider Demographics
NPI:1639275449
Name:MORNINGSTAR, HOWARD WOODWIND (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:WOODWIND
Last Name:MORNINGSTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1682
Mailing Address - Country:US
Mailing Address - Phone:541-482-2032
Mailing Address - Fax:541-482-4108
Practice Address - Street 1:534 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1682
Practice Address - Country:US
Practice Address - Phone:541-482-2032
Practice Address - Fax:541-482-4108
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19686207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR082300Medicaid
OR082300Medicaid
F35382Medicare UPIN