Healthcare Provider Details

I. General information

NPI: 1508461237
Provider Name (Legal Business Name): HORIZON ONLINE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 NE STUCKI AVE STE 308
HILLSBORO OR
97006-6951
US

IV. Provider business mailing address

1915 NE STUCKI AVE STE 308
HILLSBORO OR
97006-6951
US

V. Phone/Fax

Practice location:
  • Phone: 541-525-6620
  • Fax:
Mailing address:
  • Phone: 541-525-6620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA-ALEJANDRA DE ARAUJO SANCHEZ
Title or Position: CEO
Credential: LCSW
Phone: 541-525-6620