Individual
JORDAN HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
14645 SW FARMINGTON RD, BEAVERTON, OR 97007-2727
(503) 643-8626
Mailing address
2045 E BURNSIDE ST, 2, PORTLAND, OR 97214-1854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15521
OR
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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