Individual
SAMANTHA PORTENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 E ELM ST STE 201, CALDWELL, ID 83605-4857
(208) 514-2528
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7546
ID
Other
Enumeration date
06/15/2006
Last updated
12/15/2023
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