Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 85070719N7 | OR |
NPI | 1043303902 |
---|---|
Provider Name | Mrs. Sheryl Lynne Horwitz |
First Address | Portland, OR 97210-5352 |
Second Address | Portland, OR 97210-5352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 03/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P15837 | (02) | OR |