Individual provider · Type 1 NPI

Portia Monique Porter, CERTIFIED HAIR LOSS

Specialist · Raleigh, NC

NPI number 1073284964 Active

Practice location

7486 Creedmoor Rd
Raleigh, NC 27613-1663

Mailing address

115 S Grace St
Rocky Mount, NC 27804-5602

Specialties and licenses

TaxonomyCodeLicense
Research Study Specialist 1744R1102XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073284964

Portia Monique Porter, CERTIFIED HAIR LOSS's National Provider Identifier is 1073284964, issued on Sep 21, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 21, 2021.