Individual
MARY PATRICIA SAUER PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-3033
(503) 226-6321
(503) 227-3422
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00633
OR
363AS0400X
Surgical Physician Assistant
PA10003796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021589
—
OR
05
—
8435737
—
WA
Enumeration date
08/23/2005
Last updated
09/26/2013
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