Mary Lisa Shelley Porter, RN

NPI #1902785744 in Gresham, Oregon

Provider Information

NPI Number
1902785744
Entity Type
Individual
Name
Mary Lisa Shelley Porter, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Adult
Credential
RN
Enumeration Date
Aug 27, 2025
Last Updated
Aug 27, 2025

Practice Location

Address
4101 NE DIVISION ST
State
Oregon
ZIP Code
97030-4617
Phone
(503) 573-8663

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, AdultPsychiatric/Mental Health, Adult

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