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Individual

MR. CHRIS L PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
16259 SYLVESTER ROAD SW, SUITE 404, BURIEN, WA 98166
(206) 241-1818
(206) 244-3991
Mailing address
PO BOX 13684, SEATTLE, WA 98198-1010
(206) 592-5000
(206) 824-9510

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006421
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9644667
WA
01
P00355642
RR MEDICARE
WA
Enumeration date
04/25/2006
Last updated
12/11/2007
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