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Individual

MS. MARY KRISTINE HORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
2701 NW VAUGHN ST, #305, PORTLAND, OR 97210-5311
(503) 279-8252
(503) 279-8926
Mailing address
12381 SE CREST WAY, HAPPY VALLEY, OR 97236-6177
(503) 421-2367
(503) 279-8926

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
OR
363LA2200X
Adult Health Nurse Practitioner
000026282N3 ANP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270439
OR
Enumeration date
10/25/2006
Last updated
09/11/2025
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