Stephanie Porter

NPI #1053144675 in Portland, Oregon

Provider Information

NPI Number: 1053144675
Entity Type: Individual
Name: Stephanie Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 20, 2024
Last Updated: Aug 20, 2024

Practice Location

Address: 833 SE MAIN STREET
Address 2: #220
City: Portland
State: Oregon
ZIP Code: 97214
Phone: (971) 359-3276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X
Prevention Professional	405300000X
Technician, Other	247200000X	Primary

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