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Individual

DR. PEGGY LEE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1100 FAIRVIEW AVE N, SEATTLE, WA 98109-4433
(206) 667-3751
Mailing address
1100 FAIRVIEW AVE N, SEATTLE, WA 98109-4433
(206) 667-3751

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
00028302
WA

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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