Individual
NATASHA NICOLE PORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 NE 3RD AVE, #210, CAMAS, WA 98607
(360) 921-2328
Mailing address
3003 NE 3RD AVE, #210, CAMAS, WA 98607
(360) 921-2328
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MS6069
WA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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