Individual
MR. ALAN W PORT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
222 W MISSION AVE STE 122, SPOKANE, WA 99201-2345
(509) 842-0067
(509) 314-8945
Mailing address
10510 W RICHLAND RD LOT 74, CHENEY, WA 99004-8686
(575) 439-7241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60975677
WA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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