MARY PORTER, PAC
Physician Assistant - Surgical
Active
Individual
NPI: 1407849631
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | PA10003796 (WA) |
Frequently Asked Questions
NPI 1407849631 is the National Provider Identifier for MARY PORTER, PAC, a Physician Assistant - Surgical provider located in Portland, OR. This NPI was enumerated on August 23, 2005.
MARY PORTER, PAC practices at 2222 NW LOVEJOY ST, SUITE 315, Portland, OR 97210.
Quick Facts
- NPI
- 1407849631
- Type
- Individual
- Enumerated
- Aug 23, 2005
- Last Updated
- Sep 26, 2013
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