Individual provider · Type 1 NPI

Savannah Rae Horntvedt, DO

Student in an Organized Health Care Education/Training Program · Richland, WA

NPI number 1912690256 Active

Practice location

940 Northgate Dr
Richland, WA 99352-3505

Fax (509) 942-2527

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOL61433502 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XOL61433502 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912690256

Savannah Rae Horntvedt, DO's National Provider Identifier is 1912690256, issued on Jun 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richland, WA. The record was last updated on Jun 1, 2023.