Individual
BIRCH A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 CENTERPOINTE DR, LAKE OSWEGO, OR 97035-8651
(800) 718-1259
Mailing address
5 CENTERPOINTE DR, LAKE OSWEGO, OR 97035-8651
(800) 718-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19151
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00200694
RR MEDICARE
OR
Enumeration date
07/12/2006
Last updated
09/23/2015
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