Individual
ALLISON J. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E. KINCADE STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
1400 E. KINCADE STREET, ATTN: CREDENTIALIING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60455857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063654457
—
WA
05
—
2020186
—
WA
Enumeration date
03/31/2009
Last updated
10/06/2015
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