MRS. Denise Diane Porter

NPI #1568902096 in Athena, Oregon

Provider Information

NPI Number: 1568902096
Entity Type: Individual
Name: MRS. Denise Diane Porter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 2, 2017
Last Updated: Mar 2, 2017

Practice Location

Address: 704 N 3RD ST.
City: Athena
State: Oregon
ZIP Code: 97813-0506
Phone: (541) 969-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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