| Doctor Name: | LOREN DALE HORTON |
| NPI Number: | 1003014630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A, M.DIV. |
| License Number: | |
| Business Practice Address: | 1320 Sw Washington St Portland, OR - 972052327 |
| Business Phone Number: | 5035351150 |
| Business Fax Number: | |
| Mailing Address: | 12381 Se Crest Way, HAPPY VALLEY |
| State: | OR |
| Postal Code: | 97086 |
| Phone Number: | 5037604378 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |