MEDICARE: ROBERT L HORCHOVER DDS PS

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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	DE00002943	WA

General Provider Information

NPI Number	:	1871766261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT L HORCHOVER DDS PS

Provider Business Mailing Address
First Line	:	2101 4TH AVENUE
Second Line	:	STE 2330
City	:	SEATTLE
State	:	WA
Zip	:	98121-2317
Country	:	US
Telephone Number	:	206-770-0260
Fax Number	:	206-770-0182

Provider Business Practice Location Address
First Line	:	2101 4TH AVENUE
Second Line	:	STE 2330
City	:	SEATTLE
State	:	WA
Zip	:	98121-2317
Country	:	US
Telephone Number	:	206-770-0260
Fax Number	:	206-770-0182

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. ROBIN M HORCHOVER
Credential	:
Telephone Number	:	206-770-0260

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	05/24/2012

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