Individual
GREGORY G PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S DORA ST STE C2, UKIAH, CA 95482-6353
(707) 462-8855
(707) 462-8386
Mailing address
1165 S DORA ST STE C2, UKIAH, CA 95482-6353
(707) 462-8855
(707) 462-8386
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G52817
CA
207Y00000X
Otolaryngology Physician
MD24876
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00356129
RR MEDICARE
OR
Enumeration date
07/12/2006
Last updated
07/21/2022
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