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Individual

DR. SUSAN M PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D. , LD

Contact information

Practice address
201 16TH AVE E, CWB-3, SEATTLE, WA 98112-5226
(206) 326-4377
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD00001103
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8401341
WA
Enumeration date
02/07/2007
Last updated
06/07/2021
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