Mark Roubidoux, NP-C

NPI 1629685235 · on the registry since 2020 · sole proprietor

Practice

Address: 336 Warner Dr Ste 4a
Lewiston, ID 83501
Phone: (208) 305-3537
Fax: (877) 376-4040
Organisation at this address: Lewis Clark Imaging, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho