Individual
MR. GREGG JOHNSON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MCHS
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60539007
WA
Other
Enumeration date
10/18/2012
Last updated
03/24/2020
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