Provider Demographics
NPI:1902872161
Name:HORN, PAUL C (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:HORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 W 5TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2715
Mailing Address - Country:US
Mailing Address - Phone:509-344-2663
Mailing Address - Fax:509-624-9179
Practice Address - Street 1:212 E CENTRAL AVE
Practice Address - Street 2:STE 140
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6289
Practice Address - Country:US
Practice Address - Phone:509-465-1300
Practice Address - Fax:509-465-1313
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00036226207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010005122OtherREGENCE BLUE SHIELD
WA13718OtherGROUP HEALTH NW
ID805098800Medicaid
WAHO1902OtherASURIS NW HEALTH
WA121476OtherDEPT OF LABOR & INDUSTRIE
IDKF625OtherBLUE CROSS OF ID
379109600OtherOWCP
200031847OtherRR MEDICARE
WA8226011Medicaid
WA8921402OtherCRIME VICTIMS