Individual
ANNA BERNICE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 618-0787
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 620-5250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2344
ID
Other
Enumeration date
09/29/2020
Last updated
10/13/2025
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