Individual
SEAN PORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120-2682
(505) 322-6687
(505) 369-3406
Mailing address
3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 242-1711
(505) 242-0189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2016-0050
NM
Other
Enumeration date
09/14/2016
Last updated
07/17/2026
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