Individual
HAILEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61850 DOBBIN RD, BEND, OR 97702-9536
(541) 241-3109
Mailing address
3139 SW TIMBER CT, REDMOND, OR 97756-7508
(520) 255-9186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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