Provider Demographics
NPI:1710305578
Name:HORTON, KATHRYN JORS (MD)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JORS
Last Name:HORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:RENEE
Other - Last Name:JORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:EVERGREENHEALTH HOSPITALIST SERVICES
Mailing Address - Street 2:12040 NE 128TH ST, MS-105
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3013
Mailing Address - Country:US
Mailing Address - Phone:425-899-2560
Mailing Address - Fax:425-899-2079
Practice Address - Street 1:EVERGREENHEALTH HOSPITALIST SERVICES
Practice Address - Street 2:12040 NE 128TH ST, MS-105
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3013
Practice Address - Country:US
Practice Address - Phone:425-899-2560
Practice Address - Fax:425-899-2079
Is Sole Proprietor?:No
Enumeration Date:2014-03-30
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60656523207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine