Individual
SARAH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TIBBETTS LN STE AND 2, PONDERAY, ID 83852-9812
(208) 255-7337
Mailing address
175 JASPER LOOP, PONDERAY, ID 83852-5101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108802
TX
Other
Enumeration date
08/07/2017
Last updated
07/21/2026
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