Individual
DAMARIS PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7154 S DARLINGTON AVE, TULSA, OK 74136-6305
(918) 902-8155
Mailing address
PO BOX 33078, TULSA, OK 74153-1078
(918) 902-8155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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