Individual
CHERYL C PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 MAIN ST., SUITE 6-12, LANDER, WY 82520
(307) 332-4515
(307) 332-4899
Mailing address
315 MAIN ST., SUITE 6-12, LANDER, WY 82520
(307) 332-4515
(307) 332-4899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6499A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6499A
BOARD OF MEDICINE
WY
Enumeration date
11/29/2006
Last updated
03/07/2023
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