Doctor Name: | JORDAN HORNER |
NPI Number: | 1184096323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP |
License Number: | 15521 |
Business Practice Address: | 14645 Sw Farmington Rd Beaverton, OR - 970072727 |
Business Phone Number: | 5036438626 |
Business Fax Number: | |
Mailing Address: | 2045 E Burnside St, 2 PORTLAND |
State: | OR |
Postal Code: | 972141854 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/27/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |