Individual provider · Type 1 NPI
Stephanie Porter
Other Technician · Portland, OR
NPI number
1053144675
Active
Practice location
833 SE Main Street, #220
Portland, OR 97214
Mailing address
6841 SE Boise Street, #A
Portland, OR 97206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter | 224900000X | BAP-TA-10201665 (OR) |
| Prevention Professional | 405300000X | BAP-TA-10201665 (OR) |
| Other Technician Primary | 247200000X | BAP-FA-10213306 (OR) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1053144675
Stephanie Porter's National Provider Identifier is 1053144675, issued on Aug 20, 2024. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Portland, OR. The record was last updated on Aug 20, 2024.