Mary Patricia S Porter in Portland - Surgical
Mary Patricia S Porter - NPI 1407849631
Mary Patricia S Porter is a Surgical in Portland, Oregon. Mary Patricia S Porter practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mary Patricia S Porter is 1407849631. The last update date is 2013-09-26.
Mary Patricia S Porter's current location address is 847 Ne 19th Ave, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Mary Patricia S Porter is 847 Ne 19th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Patricia S Porter |
|---|---|
| Address | 847 Ne 19th Ave, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1407849631 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 847 Ne 19th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322684 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA00633 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21589 | OR | -- | |
| 8435737 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Patricia S Porter by the Centers for Medicare & Medicaid Services?
The Mary Patricia S Porter has been issued the NPI (National Provider Identifier) 1407849631, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Patricia S Porter?
The Mary Patricia S Porter is situated at 847 Ne 19Th Ave, in the city of Portland, state of OR, with the zip code 972322684.
What is the Mary Patricia S Porter's specialty and taxonomy code?
The Mary Patricia S Porter's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date was the 1407849631 assigned to Mary Patricia S Porter?
The Mary Patricia S Porter was issued its 1407849631 on 2005-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Patricia S Porter most recently updated?
The details pertaining to the Mary Patricia S Porter, including its address, specialty, and other relevant information, were last refreshed on 2013-09-26.