Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD00015348 | WA |
NPI | 1477703627 |
---|---|
Provider Name | Dr. Ronald Horn |
First Address | Bellingham, WA 98226-9278 |
Second Address | Bellingham, WA 98226-9278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2008 |
Last Update Date | 24/09/2008 |