Organization
THREE TREE INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS L PORTER ARNP (PROVIDER/ OWNER)
(206) 244-4704
Entity
Organization
Contact information
Practice address
3819 100TH ST SW, SUITE 7-C, LAKEWOOD, WA 98499-4470
(253) 588-7911
(253) 984-6774
Mailing address
16259 SYLVESTER RD SW, SUITE 404, BURIEN, WA 98166-3049
(206) 243-3049
(206) 244-3991
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30005421
LICENSE
WA
Enumeration date
04/20/2009
Last updated
04/20/2009
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