Individual
PORTER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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