Individual
EMILY PORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 3RD ST NW, ELK RIVER, MN 55330-8863
(763) 587-4800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
609
MN
Other
Enumeration date
07/24/2018
Last updated
03/26/2025
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