Individual
HILARY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 904-4999
(360) 326-1797
Mailing address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 904-4999
(360) 326-1797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60876305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60876305
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/24/2019
Last updated
04/24/2019
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