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Individual

AMY MELISSA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(407) 473-1137
Mailing address
2619 BAKER AVE APT 1, EVERETT, WA 98201-3161
(317) 695-8271

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60818369
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN 9293127
FL

Other

Enumeration date
09/05/2016
Last updated
11/15/2021
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