Individual
MR. NATHAN R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3894 E 200 N APT 2, RIGBY, ID 83442-5443
(208) 386-2363
Mailing address
3894 E 200 N APT 2, RIGBY, ID 83442-5443
(208) 386-2363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13429526-3501
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-27844
ID
Other
Enumeration date
01/29/2007
Last updated
04/16/2026
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