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Individual

MS. VICTORIA M HORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5905 SE POWELL VALLEY RD, GRESHAM, OR 97080-1919
(503) 665-1151
Mailing address
3354 SE 177TH AVE, PORTLAND, OR 97236-1137
(503) 760-5476

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1022153
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229160
OR
Enumeration date
03/15/2007
Last updated
07/09/2007
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