Individual
KATRINA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4149 HIGHLINE BLVD, OKLAHOMA CITY, OK 73108
(405) 949-1000
Mailing address
4706 N GROVE AVE, WARR ACRES, OK 73122
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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