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Individual

NICHOLAS HORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
737 NE SCHUYLER ST, PORTLAND, OR 97212-3924
(918) 565-0059
Mailing address
737 NE SCHUYLER ST, PORTLAND, OR 97212-3924
(918) 565-0059

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
328753
OR
225XP0200X
Pediatric Occupational Therapist
Primary
OT 60490276
WA

Other

Enumeration date
09/28/2015
Last updated
09/28/2015
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