Individual
NORA PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 H ST STE 100, ANCHORAGE, AK 99501-3464
(907) 770-0862
(907) 770-1730
Mailing address
4164 N CAMBRIC CIR, WASILLA, AK 99654-1344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6502
AK
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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