Individual
TARA PORCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1940 NW 24TH AVE, PORTLAND, OR 97210-2786
(503) 303-8118
Mailing address
1940 NW 24TH AVE, PORTLAND, OR 97210-2786
(503) 303-8118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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