Individual provider · Type 1 NPI

McDonald Elliot Porter

Student in an Organized Health Care Education/Training Program · Alameda, CA

NPI number 1700460904 Active

Practice location

2325 Clement Ave
Alameda, CA 94501-7063

Call (510) 629-6309 Map

Mailing address

859 47th St Apt B
Oakland, CA 94608-3258

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700460904

McDonald Elliot Porter's National Provider Identifier is 1700460904, issued on May 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alameda, CA. The record was last updated on Oct 7, 2026.