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Individual

MELISSA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MPA

Contact information

Practice address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-6690
(907) 729-6699
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PADA1261
AK
363A00000X
Physician Assistant
UNAVAILABLE
AK
363AM0700X
Medical Physician Assistant
Primary
PADA1261
AK

Other

Enumeration date
11/16/2014
Last updated
04/08/2025
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