Individual
JONATHON DOUGLAS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1420 ROCKY RIDGE DR STE 120, ROSEVILLE, CA 95661-2834
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A12424
CA
Other
Enumeration date
10/03/2012
Last updated
04/30/2026
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