Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN REUEL VAN HORN, PAC
ActivePhysician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1992798060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.658334990425 yrs)
- Last Updated
- Nov 19, 2019
- Licenses
-
PA00833 (OR)PA10004741 (WA)PA00833 (OR)
Practice Information
- Address
-
300 N GRAHAM ST STE 125PORTLAND, OR, 972271683Browse OR providers · Browse ZIP 97227
- Phone
- 5034133714
- Fax
- 5034132061
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SCOTT PRESTON BEYER | PA-C | 1295737997 |
| LEON QUINTON COLBURN | PA | 1578565339 |
| ROBERT LOUIS COURTOX | PA | 1184626970 |
| JENNY L HUME | PA C | 1851387666 |
| JOHNNY YUN | PA C | 1538155312 |
| LUCY NUSRALA | P.A.-C | 1821087891 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.