Individual
SAVANNAH RAE HORNTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
940 NORTHGATE DR, RICHLAND, WA 99352-3505
(509) 942-2516
(509) 942-2527
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL61433502
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61433502
WA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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