Provider Demographics
NPI:1780788901
Name:HORWITZ, ALEXANDER EARLE III (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:EARLE
Last Name:HORWITZ
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88450
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-0646
Mailing Address - Country:US
Mailing Address - Phone:253-589-6218
Mailing Address - Fax:253-617-6339
Practice Address - Street 1:265 COMMERCIAL ST SE
Practice Address - Street 2:STE 280
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3461
Practice Address - Country:US
Practice Address - Phone:503-370-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000331302084F0202X
OR192052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D80640Medicare UPIN
26ZBB10M83Medicare ID - Type Unspecified