Individual provider · Type 1 NPI

Susan D. Porter, A.N.P.

Adult Health Nurse Practitioner · Clackamas, OR

NPI number 1366547762 Active

Practice location

10180 SE Sunnyside Rd, Cardiology
Clackamas, OR 97015-8970

Mailing address

1828 SE 42nd Ave
Portland, OR 97215-3755

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XOR 087006173N3 (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1366547762

Susan D. Porter, A.N.P.'s National Provider Identifier is 1366547762, issued on Sep 13, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.