Individual
SARA ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
619 NW 6TH AVE FL 2, PORTLAND, OR 97209-3964
(503) 988-3700
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450136NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009072
—
WA
05
—
22959
—
OR
01
—
G8894870
PTAN
WA
Enumeration date
03/07/2006
Last updated
11/26/2019
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