Individual
DAVID CHARLES PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Mailing address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00017858
WA
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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