Individual
LISA S PORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
9155 SW BARNES RD, STE 231, PORTLAND, OR 97225-6653
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD179297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018100790001
—
PA
Enumeration date
04/26/2006
Last updated
12/22/2016
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