Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-13030 | OR |
NPI | 1275072563 |
---|---|
Provider Name | Sonya M Horowitz |
First Address | Portland, OR 97219 |
Second Address | Portland, OR 97219-5343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2017 |
Last Update Date | 20/02/2017 |