Individual
BERNARD M PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 BISHOP ST, SUITE #1110, HONOLULU, HI 96813-2807
(808) 596-7300
(808) 596-7305
Mailing address
8513 NE HAZEL DELL AVE, SUITE #102, VANCOUVER, WA 98665-8068
(800) 594-8043
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD-4132
HI
Other
Enumeration date
01/24/2007
Last updated
07/21/2015
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