Individual
HENNING PFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E. KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 428-2501
(360) 428-2596
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263662
LABOR & INDUSTRIES
WA
05
—
8354573
—
WA
Enumeration date
04/25/2006
Last updated
10/05/2012
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