MR. Jeremy Dean Porter, LMT

NPI #1407005200 in Bellingham, Washington

Provider Information

NPI Number: 1407005200
Entity Type: Individual
Name: MR. Jeremy Dean Porter, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Sep 17, 2008
Last Updated: Sep 17, 2008

Practice Location

Address: 1486 ELECTRIC AVE
Address 2: SUITE #103
City: Bellingham
State: Washington
ZIP Code: 98229-2410
Phone: (360) 671-5644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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