Individual
BRANDON PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3966 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-6770
(440) 340-5086
(440) 340-5035
Mailing address
5034 PHILIP AVE, MAPLE HEIGHTS, OH 44137-1444
(216) 633-6504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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