Individual
JONATHAN REUEL VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
300 N GRAHAM ST STE 125, PORTLAND, OR 97227-1683
(503) 413-3714
(503) 413-2061
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00833
OR
363AS0400X
Surgical Physician Assistant
PA00833
OR
363AS0400X
Surgical Physician Assistant
PA10004741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500600859
—
OR
Enumeration date
08/24/2005
Last updated
11/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us