MEDICARE: ELIZABETH IRENE HORN AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	LD61448472	WA
2	231H00000X	Audiologist	LD61448472	WA

General Provider Information

NPI Number	:	1598465874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH IRENE HORN AUD

Provider Business Mailing Address
First Line	:	1305 FOWLER ST STE 1A
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4719
Country	:	US
Telephone Number	:	509-572-2444
Fax Number	:	509-572-2124

Provider Business Practice Location Address
First Line	:	3107 W MCGRAW ST STE B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3300
Country	:	US
Telephone Number	:	206-657-5675
Fax Number	:	206-657-5677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	12/11/2025

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