Healthcare Provider Details

I. General information

NPI: 1598465874
Provider Name (Legal Business Name): ELIZABETH IRENE HORN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 W MCGRAW ST STE B
SEATTLE WA
98199-3300
US

IV. Provider business mailing address

1305 FOWLER ST STE 1A
RICHLAND WA
99352-4719
US

V. Phone/Fax

Practice location:
  • Phone: 206-657-5675
  • Fax: 206-657-5677
Mailing address:
  • Phone: 509-572-2444
  • Fax: 509-572-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD61448472
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD61448472
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: