Individual
ADAM GREGORY PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 OBETZ RD, COLUMBUS, OH 43207-4036
(614) 409-1400
Mailing address
651 RIVERVIEW DR APT 3, COLUMBUS, OH 43202-1667
(614) 581-9620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.442721
OH
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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