Individual
COURTNEY MARIE PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-6652
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(202) 321-4151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102203284
VA
208000000X
Pediatrics Physician
0116021679
VA
208M00000X
Hospitalist Physician
0102203284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102203284
—
VA
Enumeration date
06/15/2009
Last updated
08/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us