Individual
EVELYN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, ROOM L-126, SAN FRANCISCO, CA 94143-0208
(415) 353-1634
Mailing address
505 PARNASSUS AVE, ROOM L-126, SAN FRANCISCO, CA 94143-0208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01066794A
IN
207P00000X
Emergency Medicine Physician
Primary
A111665
CA
Other
Enumeration date
04/21/2009
Last updated
06/25/2012
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