NPI 1053144675
Stephanie Porter
Practice location
- Address
- 833 SE Main Street #220, Portland, OR 97214
- Phone
- (971) 359-3276
- Mailing address
- 6841 SE Boise Street #a, Portland, OR 97206
Registered specialties (3)
Other Technician
Primary
Mastectomy Fitter
Prevention Professional
Registry record
- NPI
- 1053144675
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2024
- Record last updated
- 20 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.