MISTY PORTER

Peer Specialist

Active Individual
NPI: 1235905274

Practice Address

540 3RD ST
Idaho Falls, ID 83401

Phone: (208) 524-5607

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1235905274 is the National Provider Identifier for MISTY PORTER, a Peer Specialist provider located in Idaho Falls, ID. This NPI was enumerated on November 30, 2023.
MISTY PORTER practices at 540 3RD ST, Idaho Falls, ID 83401.

Quick Facts

NPI
1235905274
Type
Individual
Enumerated
Nov 30, 2023
Last Updated
Nov 30, 2023

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