Whalio Doctors

NPI 1649703349

Erica Porter

Practitioner Prevention Professional Tulsa, OK

Practice location

Address
4760 E 68th St #267, Tulsa, OK 74136
Phone
(918) 565-2710
Mailing address
4760 E 68th St Apt267, Tulsa, OK 74136-4942

Registered specialties

Prevention Professional Primary
Other Service Providers Taxonomy 405300000X Licence D999730843 (OK)

Registry record

NPI
1649703349
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Apr 2017
Record last updated
10 Apr 2017

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.