Provider Demographics
NPI:1043303902
Name:HORWITZ, SHERYL LYNNE (WHCNP)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNNE
Last Name:HORWITZ
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 NW VAUGHN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-5352
Mailing Address - Country:US
Mailing Address - Phone:503-227-4050
Mailing Address - Fax:503-477-7673
Practice Address - Street 1:2701 NW VAUGHN ST STE 205
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-5352
Practice Address - Country:US
Practice Address - Phone:503-227-4050
Practice Address - Fax:503-477-7673
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR85070719N7363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP15837Medicare UPIN