David Charles Port
NPI #1376774786 in Pullman, Washington
Provider Information
- NPI Number
- 1376774786
- Entity Type
- Individual
- Name
- David Charles Port
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 3, 2009
- Last Updated
- Aug 3, 2009
Practice Location
- Address
- 340 NE MAPLE ST
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-4120
- Phone
- (509) 334-1133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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