Individual
KAITLIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
05/11/2026
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