Provider Demographics
NPI:1740393552
Name:HORTON, WILLIAM ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ARNOLD
Last Name:HORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3101 SW SAM JACKSON PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3009
Mailing Address - Country:US
Mailing Address - Phone:503-221-1537
Mailing Address - Fax:503-221-3451
Practice Address - Street 1:3101 SW SAM JACKSON PARK ROAD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3009
Practice Address - Country:US
Practice Address - Phone:503-221-1537
Practice Address - Fax:503-221-3451
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD18607207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics