Individual
MARIO E PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 N MAIN ST, COUPEVILLE, WA 98239-9500
(360) 678-4424
(360) 678-5161
Mailing address
PO BOX 770, COUPEVILLE, WA 98239-0770
(360) 678-4424
(360) 678-5161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60318075
WA
207X00000X
Orthopaedic Surgery Physician
TP027
KY
Other
Enumeration date
04/19/2006
Last updated
08/31/2017
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