Individual
DR. LAWRENCE HORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1106
(503) 681-1796
Mailing address
PO BOX 28130, PORTLAND, OR 97228-8130
(503) 681-1009
(503) 681-1835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD09467
OR
2085R0202X
Diagnostic Radiology Physician
MD09467
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045844
—
OR
Enumeration date
11/01/2006
Last updated
04/14/2010
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