Individual
DR. IAN MICHAEL HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12442 SW SCHOLLS FERRY RD STE 206, TIGARD, OR 97223-0804
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO173201
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500691200
—
OR
Enumeration date
06/14/2013
Last updated
02/24/2025
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