Basic Information
| Provider Information | |||||||||
| NPI: | 1225476625 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORRAS | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1211 24TH ST | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982212562 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602994945 | ||||||||
| FaxNumber: | 3602994269 | ||||||||
| Practice Location | |||||||||
| Address1: | 1213 24TH ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982212595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602993101 | ||||||||
| FaxNumber: | 3602991339 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2013 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | NE 28245 | NE | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MED-PHYS-LIC-51216 | MT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD61018208 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.