Individual
KELLY ANNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12221 VILLAGE CENTER PL STE 203, MUKILTEO, WA 98275-6080
(206) 558-4488
(206) 691-8281
Mailing address
522 N 85TH ST APT C339, SEATTLE, WA 98103-3789
(206) 558-4488
(206) 691-8281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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