Individual
SONYA M HOROWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CPM
Contact information
Practice address
3822 SW ALICE ST, PORTLAND, OR 97219-5343
(503) 453-5292
Mailing address
3822 SW ALICE STREET, PORTLAND, OR 97219
(503) 453-5292
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-13030
OR
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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