Most Relevant Information
Provider Data
| NPI Number: | 1003014630 |
| Provider Name: | LOREN DALE HORTON B.A, M.DIV. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1320 SW WASHINGTON ST
PORTLAND
OR
972052327
Practice Location Phone/Fax
| Phone: | 5035351150 |
| Fax: |
Provider Mailing Location
12381 SE CREST WAY
HAPPY VALLEY
OR
97086
Provider Mailing Phone/Fax
| Phone: | 5037604378 |
| Fax: |